ABC of Pediatric Surgical Imaging by S. Cox, A. Maydell (auth.), Savvas Andronikou, Angus

By S. Cox, A. Maydell (auth.), Savvas Andronikou, Angus Alexander, Tracy Kilborn, Alastair J. W. Millar, Alan Daneman (eds.)

This guide is meant for medical professionals operating during this ? eld. It belongs to the pocket of a pupil, residence of? cer, resident, clinical of? cer or generalist advisor, who will ? rst see the sufferer. The clinician must suspect at the very least one disorder procedure as a kick off point, as the booklet is ordered alphabetically in accordance with diagnoses. From this element there are either surgical and imaging differential diagnoses indexed. those can be checked out in the ebook. For the clinician there's a devoted web page to help with medical signs and indicators, replacement diagnoses and urgency of the radiological research, in accordance with very important details that's wanted from imaging. in regards to imaging, there's a record of fundamental, follow-on and substitute investi- tions acceptable for the suspected prognosis. There are lists of imaging beneficial properties with s- porting photos, assistance and radiological differential diagnoses. The alphabetic association makes for a bounce to the following suspected analysis conveniently to ? nd anything enhanced for the present patient’s needs.

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Do not mistake the normal nodular terminal ileum in children for disease. The normal lymphoid tissue is seen as smaller nodules. Radiological Differential Diagnosis MRI STIR of the perineum demonstrates multiple sinus/fistula openings (arrows) ¼ ¼ ¼ ¼ Ulcerative colitis Infectious colitis (TB, ascaris) Appendicitis Lymphoma Crohn’s Disease – Imaging 29 A B C D E F G H I J K L M N O P Q R S T U V W X Y Z 30 Cystic Hygroma (Lymphatic Malformation) Clinical Differential Diagnosis Clinical Insights ¼ Benign hamartomatous malformation of the lymphatic system.

Axial CT post-contrast confirms the relatively posterior and right-sided mediastinal mass with lowdensity fluid content (arrow) ! Tips ¼ MRI – use axial T1 and coronal T2/STIR Radiological Differential Diagnosis ¼ Round pneumonia (does not cause mass effect and resolves) Axial CT post-contrast demonstrates a subcarinal, hypodense non-enhancing cyst (arrow) compressing the left main bronchus ¼ Lymphadenopathy ¼ Hydatid ¼ Pulmonary blastoma (rare) Bronchogenic Cysts – Imaging 21 A B C D E F G H I J K L M N O P Q R S T U V W X Y Z 22 Surgeon: S.

Ipsi- and contra-lateral lung US ¼ Demonstrates fluid-filled and peristalsing bowel loops in the chest ¼ Demonstrates paucity or lack of bowel loops in the abdomen and sometimes continuity with loops in the chest CT ¼ Confirms bowel continuous from abdomen into chest ¼ Reconstructions may demonstrate defective diaphragm MRI ¼ Bowel loops = high signal fluid content in the chest ¼ Liver = low signal in chest UGI/Enema ¼ Enema confirms colon and UGI confirms stomach in chest Imaging Differential Diagnosis ¼ CCAM ¼ Cavitating pneumonia ¼ Pneumatocoeles – Rare in neonates Bochdaleck Hernia (Congenital Diaphragmetic Hernia/CDH) – Imaging 17 A B C D E F G H I J K L M N O P Q R S T U V W X Y Z 18 Surgeon: J.

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