5a . Pediatrics - Workflow SSH Flashcards
what is the difference in paediatric workflow that need to be kept in mind - 3 things
prepare everything before the patient arrives in the room as window for the patient to be cooperative is small
body before bit positioning and position the parent
who can restrain patients in paeds
over 18yo and not pregant
what are 5 equipment that can be used as restraints
linen sandbags lead gowns perspex lead gowns sponges
how do you restrain babies with cloth nappies
fold into a triangle and wrap each side over tummy and under bum
babys weight keeps it in place
how can you figure out what exposures to use for paeds
think about lowest exposure avail 50 at 1.6 and think about what youd give for adult equivalent anatomy
think about what adult body part is the same thickness and density
what is the magic exposure for paeds
60 at 2
what is the exposure for baby supine
60 at 2
what is the effect of SID on exposure comparing the supine and sitting up views
what are the tech factors for each positioning
photons dont have very far to travel in supine views but more distance to travel for sitting up views
sitting = 70 at 2 supine = 60 at 2
what is the average abdo mAs correspond to
the age of the child
do you use grids for lateral chest
yes for bucky lateral chest
what is the difference between fractures and growth plate lines
growth plate lines are smoother and less jagged/fragmented, almost more sclerotic than # lines
what is DDH
developmental dysplaysia of the hip
what is the characteristic of DDH
misshapen acetabulum
what view does a DDH need
AP pelvis only
why dont you need a lateral for DDH
No lateral needed as the acetabulum is the issue, not the femur so lateral femur doesn’t give more info about acetabulum
what views can be done for DDH in hip spiker
AP frog leg laterals
what are the 5 DDH signs
breech birth uneven creases family hx clicky hips abnormal crawl/walk
what age group do you do DDH views for and why not other ages
> 4months
pelvis not fully developed to see DDH until baby is 4months old
what line is used to see if there is DDH
shentons line = between inf aspect of pubic ramus and medial aspect of the fem neck
acetabulum index line = normal if closer to horizontal
what is SUFE pathology
slipped upper femoral epiphysis
what is the age range for SUFEs
10-15yo bigger active kids
what views are needed for SUFE
AP pelvis and frog leg lateral
what are buckle fractures
cortex gets compressed into little bulge instead of breaking cortex
what are greenstick fractures
in only one side of the cortex and not the other
