Children and infants comprise up to 20% of emergency department visits, and emergency physicians must be knowledgeable in choosing the most appropriate imaging modality to arrive at an accurate diagnosis and provide optimal patient care. Written specifically for the non-specialist and those with limited pediatric training, Pediatric Imaging for the Emergency Provider provides expert guidance in this challenging area. Abundant high-quality imaging examples cover the full range of pediatric disorders you’re likely to see, including trauma, musculoskeletal, pulmonary, ENT, cardiac, genitourinary, gastroenterology, neurological, and neonatal patients.
1. Introduction - p. iii 2. List of Illustrations - p. iii 3. List of Tables - p. iii 4. Chapter 1: Imaging modalities in the pediatric patient: How to choose - p. iii 5. Chapter 2: ALARA principles - p. 5 6. Chapter 3: Sedation/anxiolysis for pediatric imaging - p. 7 7. SECTION 1: Neonatal - p. 14 8. Chapter 4: My, what a big thymus you have! Neonate/infant mediastinal masses - p. 14 9. Chapter 5: A wheezin’ we will go: Bronchiolitis/viral pathology - p. 21 10. Chapter 6: Twisting the night away: Malrotation - p. 24 11. Chapter 7: Double bubble. . . double trouble! Duodenal obstruction - p. 27 12. Chapter 8: Cyanotic and acyanotic congenital heart disease - p. 31 13. Chapter 9: More than constipation: Failure to pass meconium - p. 38 14. Chapter 10: Rumbly in the tumbly: Pneumatosis intestinalis and necrotizing enterocolitis - p. 43 15. SECTION 2: Cardiac - p. 46 16. Chapter 11: Matters of the heart: Pericarditis - p. 46 17. Chapter 12: A bit of a mix-up: Right-sided aortic arch - p. 52 18. Chapter 13: You’re surrounded: Vascular ring/sling - p. 55 19. SECTION 3: Gastroenterology - p. 60 20. Chapter 14: Twisting tubes: Gastrostomy tube issues - p. 60 21. Chapter 15: Not movin’: Pediatric bowel obstruction - p. 64 22. Chapter 16: Screaming fits: Intussusception - p. 74 23. Chapter 17: My tummy! Appendicitis - p. 78 24. Chapter 18: It’s not in to be thin: SMA syndrome - p. 81 25. Chapter 19: You ate what? Swallowed foreign bodies - p. 86 26. Chapter 20: Right out of ‘the exorcist’: Pyloric stenosis - p. 95 27. SECTION 4: Genitourinary - p. 99 28. Chapter 21: Twists and turns: Testicular torsion - p. 99 29. Chapter 22: That looks painful: Hydrocele - p. 105 30. Chapter 23: Unusually painful: Ovarian torsion - p. 107 31. Chapter 24: All pain and no gain: Renal stones - p. 112 32. Chapter 25: Belly getting bigger? Wilms tumor - p. 117 33. Chapter 26: TOA (Tubo-Ovarian Abscess): Three letters you don’t want to hear - p. 120 34. SECTION 5: Neurologic - p. 124 35. Chapter 27: Don’t lose your head: Ventriculoperitoneal (VP) shunt issues - p. 124 36. Chapter 28: More than a migraine: Intracranial mass - medulloblastoma - p. 129 37. Chapter 29: Diffuse intrinsic pontine glioma: DIPG - p. 133 38. Chapter 30: Not actin’ right: Lacunar infarct and pediatric stroke - p. 136 39. Chapter 31: Hard to wake up: Cerebritis - p. 142 40. Chapter 32: Nothing cute about it: Acute flaccid myelitis - p. 146 41. Chapter 33: What headache? Pediatric arteriovenous malformation - p. 150 42. Chapter 34: Can you see it? Orbital cellulitis - p. 154 43. Chapter 35: Something in your eye: Periorbital cellulitis - p. 157 44. Chapter 36: Somethin’ growin’: Pediatric arachnoid cysts - p. 160 45. SECTION 6: Pulmonary - p. 163 46. Chapter 37: Rattlin’ in the chest: Community-acquired pneumonia - p. 163 47. Chapter 38: Is that pneumonia? Atelectasis - p. 169 48. Chapter 39: Will the cough ever stop? Atypical pneumonia - p. 174 49. Chapter 40: Of course you have asthma: Persistent wheezing - p. 177 50. SECTION 7: Trauma - p. 180 51. Chapter 41: Buckle up: Abdominal trauma - p. 180 52. Chapter 42: Where’s the air? Pneumothorax - p. 185 53. Chapter 43: Can’t pee: Pediatric bladder trauma - p. 191 54. Chapter 44: Heads up!: Head trauma - p. 196 55. Chapter 45: Cruisin’ for a bruisin’: Pulmonary contusion - p. 203 56. Chapter 46: The heart of the matter: Ventricular laceration - p. 206 57. Chapter 47: Chest pains: Pediatric chest trauma - p. 210 58. Chapter 48: Check that neck: Cervical spine imaging - p. 213 59. Chapter 49: My achin’ back: Vertebral compression fractures - p. 217 60. Chapter 50: How’d that happen? Nonaccidental trauma - p. 221 61. SECTION 8: Musculoskeletal - p. 226 62. Chapter 51: Growing pains: Salter-Harris classification of physeal injuries - p. 226 63. Chapter 52: My fracture is not humerus: Supracondylar fractures - p. 233 64. Chapter 53: Elbow grease: Lateral and medial condyle fractures of the humerus - p. 238 65. Chapter 54: Rough trip: Scapula fracture - p. 243 66. Chapter 55: Humeral shaft fractures: Nothing funny about that! - p. 246 67. Chapter 56: In pieces: Clavicle fracture - p. 249 68. Chapter 57: Let’s play! Forearm fractures - p. 252 69. Chapter 58: Italian twins: Monteggia and galeazzi fractures - p. 256 70. Chapter 59: Bones out of place? Wrist fractures - p. 261 71. Chapter 60: Snuffbox? Scaphoid fractures - p. 264 72. Chapter 61: Punchin’ out: Fifth metacarpal (boxer’s) fracture - p. 267 73. Chapter 62: Pfunny pfingers: Phalanx fractures (dislocations, etc.) - p. 269 74. Chapter 63: Can’t move your hips: Pelvic fractures - p. 275 75. Chapter 64: All fun and games: Femoral fractures - p. 280 76. Chapter 65: Knee pain: It’s not always the knee—slipped capital femoral epiphysis - p. 283 77. Chapter 66: Weak in the knees: Patellar dislocation - p. 286 78. Chapter 67: It’s the way you (don’t) walk: Fractures of the tibia and fibula - p. 289 79. Chapter 68: Tough day: Triplane fracture - p. 294 80. Chapter 69: My achin’ feet: Talus fracture - p. 298 81. Chapter 70: My achin’ back! Spondylolysis/spondylolisthesis - p. 303 82. Chapter 71: Achy muscles: Pyomyositis/myositis - p. 308 83. Chapter 72: ‘Lil stuffy noses: sinusitis - p. 311 84. Chapter 73: Who’s Brodie? Brodie abscess - p. 313 85. Chapter 74: I feel it in my bones: Osteomyelitis - p. 317 86. Chapter 75: More than an achy back: Spinal epidural abscess - p. 322 87. Chapter 76: It’s tough being a kid: Toddler’s fracture - p. 326 88. Chapter 77: Hurtn’ to stand: Discitis - p. 329 89. Chapter 78: My knee won’t stop swelling! Osteosarcoma - p. 333 90. Chapter 79: Not those Ewings: Ewing sarcoma - p. 336 91. Chapter 80: What is this? Bone cyst - p. 339 92. SECTION 9: ENT - p. 341 93. Chapter 81: Who let the dogs out? Croup - p. 341 94. Chapter 82: All that drools: Retropharyngeal and peritonsillar abscess - p. 346 95. Chapter 83: Frog in your throat: Supraglottic infections and bacterial tracheitis - p. 349 96. Imaging pathways - p. 354 97. Imaging acronyms - p. 354 98. Index - p. 354 99. Inside back cover - p. 354
Children and infants comprise up to 20% of emergency department visits, and emergency physicians must be knowledgeable in choosing the most appropriate imaging modality to arrive at an accurate diagnosis and provide optimal patient care. Written specifically for the non-specialist and those with limited pediatric training, Pediatric Imaging for the Emergency Provider provides expert guidance in this challenging area. Abundant high-quality imaging examples cover the full range of pediatric disorders you’re likely to see, including trauma, musculoskeletal, pulmonary, ENT, cardiac, genitourinary, gastroenterology, neurological, and neonatal patients.
1. Introduction - p. iii 2. List of Illustrations - p. iii 3. List of Tables - p. iii 4. Chapter 1: Imaging modalities in the pediatric patient: How to choose - p. iii 5. Chapter 2: ALARA principles - p. 5 6. Chapter 3: Sedation/anxiolysis for pediatric imaging - p. 7 7. SECTION 1: Neonatal - p. 14 8. Chapter 4: My, what a big thymus you have! Neonate/infant mediastinal masses - p. 14 9. Chapter 5: A wheezin’ we will go: Bronchiolitis/viral pathology - p. 21 10. Chapter 6: Twisting the night away: Malrotation - p. 24 11. Chapter 7: Double bubble. . . double trouble! Duodenal obstruction - p. 27 12. Chapter 8: Cyanotic and acyanotic congenital heart disease - p. 31 13. Chapter 9: More than constipation: Failure to pass meconium - p. 38 14. Chapter 10: Rumbly in the tumbly: Pneumatosis intestinalis and necrotizing enterocolitis - p. 43 15. SECTION 2: Cardiac - p. 46 16. Chapter 11: Matters of the heart: Pericarditis - p. 46 17. Chapter 12: A bit of a mix-up: Right-sided aortic arch - p. 52 18. Chapter 13: You’re surrounded: Vascular ring/sling - p. 55 19. SECTION 3: Gastroenterology - p. 60 20. Chapter 14: Twisting tubes: Gastrostomy tube issues - p. 60 21. Chapter 15: Not movin’: Pediatric bowel obstruction - p. 64 22. Chapter 16: Screaming fits: Intussusception - p. 74 23. Chapter 17: My tummy! Appendicitis - p. 78 24. Chapter 18: It’s not in to be thin: SMA syndrome - p. 81 25. Chapter 19: You ate what? Swallowed foreign bodies - p. 86 26. Chapter 20: Right out of ‘the exorcist’: Pyloric stenosis - p. 95 27. SECTION 4: Genitourinary - p. 99 28. Chapter 21: Twists and turns: Testicular torsion - p. 99 29. Chapter 22: That looks painful: Hydrocele - p. 105 30. Chapter 23: Unusually painful: Ovarian torsion - p. 107 31. Chapter 24: All pain and no gain: Renal stones - p. 112 32. Chapter 25: Belly getting bigger? Wilms tumor - p. 117 33. Chapter 26: TOA (Tubo-Ovarian Abscess): Three letters you don’t want to hear - p. 120 34. SECTION 5: Neurologic - p. 124 35. Chapter 27: Don’t lose your head: Ventriculoperitoneal (VP) shunt issues - p. 124 36. Chapter 28: More than a migraine: Intracranial mass - medulloblastoma - p. 129 37. Chapter 29: Diffuse intrinsic pontine glioma: DIPG - p. 133 38. Chapter 30: Not actin’ right: Lacunar infarct and pediatric stroke - p. 136 39. Chapter 31: Hard to wake up: Cerebritis - p. 142 40. Chapter 32: Nothing cute about it: Acute flaccid myelitis - p. 146 41. Chapter 33: What headache? Pediatric arteriovenous malformation - p. 150 42. Chapter 34: Can you see it? Orbital cellulitis - p. 154 43. Chapter 35: Something in your eye: Periorbital cellulitis - p. 157 44. Chapter 36: Somethin’ growin’: Pediatric arachnoid cysts - p. 160 45. SECTION 6: Pulmonary - p. 163 46. Chapter 37: Rattlin’ in the chest: Community-acquired pneumonia - p. 163 47. Chapter 38: Is that pneumonia? Atelectasis - p. 169 48. Chapter 39: Will the cough ever stop? Atypical pneumonia - p. 174 49. Chapter 40: Of course you have asthma: Persistent wheezing - p. 177 50. SECTION 7: Trauma - p. 180 51. Chapter 41: Buckle up: Abdominal trauma - p. 180 52. Chapter 42: Where’s the air? Pneumothorax - p. 185 53. Chapter 43: Can’t pee: Pediatric bladder trauma - p. 191 54. Chapter 44: Heads up!: Head trauma - p. 196 55. Chapter 45: Cruisin’ for a bruisin’: Pulmonary contusion - p. 203 56. Chapter 46: The heart of the matter: Ventricular laceration - p. 206 57. Chapter 47: Chest pains: Pediatric chest trauma - p. 210 58. Chapter 48: Check that neck: Cervical spine imaging - p. 213 59. Chapter 49: My achin’ back: Vertebral compression fractures - p. 217 60. Chapter 50: How’d that happen? Nonaccidental trauma - p. 221 61. SECTION 8: Musculoskeletal - p. 226 62. Chapter 51: Growing pains: Salter-Harris classification of physeal injuries - p. 226 63. Chapter 52: My fracture is not humerus: Supracondylar fractures - p. 233 64. Chapter 53: Elbow grease: Lateral and medial condyle fractures of the humerus - p. 238 65. Chapter 54: Rough trip: Scapula fracture - p. 243 66. Chapter 55: Humeral shaft fractures: Nothing funny about that! - p. 246 67. Chapter 56: In pieces: Clavicle fracture - p. 249 68. Chapter 57: Let’s play! Forearm fractures - p. 252 69. Chapter 58: Italian twins: Monteggia and galeazzi fractures - p. 256 70. Chapter 59: Bones out of place? Wrist fractures - p. 261 71. Chapter 60: Snuffbox? Scaphoid fractures - p. 264 72. Chapter 61: Punchin’ out: Fifth metacarpal (boxer’s) fracture - p. 267 73. Chapter 62: Pfunny pfingers: Phalanx fractures (dislocations, etc.) - p. 269 74. Chapter 63: Can’t move your hips: Pelvic fractures - p. 275 75. Chapter 64: All fun and games: Femoral fractures - p. 280 76. Chapter 65: Knee pain: It’s not always the knee—slipped capital femoral epiphysis - p. 283 77. Chapter 66: Weak in the knees: Patellar dislocation - p. 286 78. Chapter 67: It’s the way you (don’t) walk: Fractures of the tibia and fibula - p. 289 79. Chapter 68: Tough day: Triplane fracture - p. 294 80. Chapter 69: My achin’ feet: Talus fracture - p. 298 81. Chapter 70: My achin’ back! Spondylolysis/spondylolisthesis - p. 303 82. Chapter 71: Achy muscles: Pyomyositis/myositis - p. 308 83. Chapter 72: ‘Lil stuffy noses: sinusitis - p. 311 84. Chapter 73: Who’s Brodie? Brodie abscess - p. 313 85. Chapter 74: I feel it in my bones: Osteomyelitis - p. 317 86. Chapter 75: More than an achy back: Spinal epidural abscess - p. 322 87. Chapter 76: It’s tough being a kid: Toddler’s fracture - p. 326 88. Chapter 77: Hurtn’ to stand: Discitis - p. 329 89. Chapter 78: My knee won’t stop swelling! Osteosarcoma - p. 333 90. Chapter 79: Not those Ewings: Ewing sarcoma - p. 336 91. Chapter 80: What is this? Bone cyst - p. 339 92. SECTION 9: ENT - p. 341 93. Chapter 81: Who let the dogs out? Croup - p. 341 94. Chapter 82: All that drools: Retropharyngeal and peritonsillar abscess - p. 346 95. Chapter 83: Frog in your throat: Supraglottic infections and bacterial tracheitis - p. 349 96. Imaging pathways - p. 354 97. Imaging acronyms - p. 354 98. Index - p. 354 99. Inside back cover - p. 354
