Aquifer #4 Flashcards
What image modality is indicated for clicks left hip of a 2 month?
US
3 risk factors for DDH?
Family history of it, breech position, and female
2 signs of US that highly suggest hip dysplasia?
Shallow acetabulum
Subluxation of the femoral head with stress
What kind of alpha angle will a shallow acetabulum have?
Low alpha angle
What is the treatment for DDH up until 6 months of age?
Pavlik harness which is flexing the flips to 100 degrees in abduction
What image modality to use to investigate hydrocephalus in infants?
Up to 9 months, US
After you might need CT or MRI
Two conditions to think about with acute ab pain in a neonate?
Volvulus
Necrotizing enterocolitis
4 conditions to think of with ab pain in a toddler and infant?
Appendicitis
Volvulus
Intussusception
Strangulated inguinal hernia
In what setting do we commonly see necrotizing enterocolitis?
Premature infants
What is the most common place for intussusception?
Terminal ileum, so ilio colic
What is the classic triad of intussusception?
Ab pain, vomiting, currant jelly stool
What is the classic triad of acute epiglottis?
Drooling, dysphagia, and respiratory distress
What are you initially concerned about in the management of acute epiglottis?
Airway management. Get to hospital asap. Once airway is good, soft tissue lateral neck film to see thumb sign. Keep erect, no supine.
On x ray of the chest, there is a single, focal opacity. What do I always need to consider?
Round pneumonia, especially in the lower lobes where they are most often found.
