Pediatric PPT

Question 1

How much parents can participate depends on:

Answer 1

• Philosophy of the department
• Wishes of the parent and patient
• Laws of the state you are working in

Question 2

Emergency Patients

Answer 2

• Stress, guilt, fear

* Stay calm and remain confident

Question 3

Outpatients

Answer 3

Easier to approach than inpatients

Question 4

Inpatients

Answer 4

• Usually children who are very sick
• Parents under various stressors
• Provide reassurance

Question 5

Take note of the following:

Answer 5

1- Are there specific instructions re: care & management of the child?
2- Will someone accompany the child?
3- Does the child have physical limitations that will influence the exam?

Question 6

Always be aware of

Answer 6

• The purpose and significance of tubes, IV’s, etc.

- Any collection routines (diapers, etc)

Question 7

The single most important precaution to prevent the spread of germs is

Answer 7

Handwashing

Question 8

Premature Infants

Answer 8

Greatest danger is hypothermia

Question 9

Myelomeninglcele Cared for

Answer 9

in the prone position

Question 10

Omphalocele & Gastroschisis

Answer 10

Become rapidly hypothermic

Question 11

Epiglottitis

Answer 11

One of the most dangerous causes of acute upper airway obstruction in children – treat as an EMERGENCY!

Question 12

Osteogenesis Imperfecta

Answer 12

Brittle bones

Question 13

Suspected Child Abuse

Answer 13

Skeletal surveys vs. a baby gram
•Separate images to increase quality of films
•Visualization of joints is essential

Question 14

It is mandatory in all states to report

Answer 14

suspected child abuse or neglect.

Question 15

2 most successful tools for pediatric radiography:

Answer 15

Effective immobilization

Good communication skills

Question 16

3 ingredients of successful communication:

Answer 16

Reassurance
Praise
Distraction

Question 17

Immobilization should NEVER

Answer 17

Become traumatic

Cause harm to the patient

Question 18

Chest Radiography

Answer 18

A child takes nice deep breaths while crying, that a great time to get good inspiration.

Question 19

Hip Radiography

Answer 19

Legg-Calve-Perthes disease and congenital dislocation

NEVER touch the public symphysis of a child

Question 20

Skull Radiography

Answer 20

Bunny technique
Cranial angulations decreased by 5 degrees
Head clamps used on children under 3
•Skull radiographs ordered to assess neurologic issues and evaluate extent of trauma

Question 21

Abdominal Radiography

Answer 21

Protocols differ from adults
2 required images include supine and an image to show air fluid levels – occasionally a lateral
•Central ray located at the level of L2
•Pigg-o-stat can be used for upright films

Question 22

VCUG

Answer 22

Checking for vesicoureteral reflux (bladder to ureters)

Question 23

Bone Age

Answer 23

• Checks for advanced or slow skeletal maturation

•Evaluate the degree of fusion between epiphyses and shafts of the bones of the hand and wrist

Question 24

Aspirated foreign bodies

Answer 24

• Soft tissue neck (filtered, high-kVp film of the neck)

* Aspirated foreign bodies are more commonly lodged in the bronchial tree. Right more than left.

Question 25

Ingested foreign bodies

Answer 25

Coins are the most commonly ingested foreign bodies

Question 26

MRI

Answer 26

Biggest negative is length of exam

Question 27

CT

Answer 27

Concern with radiation dose; useful in diagnosing congenital abnormalities, assessing metastases, etc

Question 28

3D Imaging

Answer 28

Useful in “mapping” a course of treatment; management of spinal trauma

Question 29

Interventional Radiography

Answer 29

Minimally invasive, vascular and nonvascular

Question 30

Nuclear Medicine

Answer 30

These exams assess function rather than show anatomy