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, condominium of? cer, resident, clinical of? cer or generalist advisor, who will ? rst see the sufferer. The clinician must suspect no less than one ailment method as a kick off point, as the booklet is ordered alphabetically based on diagnoses. From this aspect there are either surgical and imaging differential diagnoses indexed. those is also checked out in the booklet. For the clinician there's a committed web page to aid with scientific signs and symptoms, substitute diagnoses and urgency of the radiological research, in accordance with vital details that's wanted from imaging. with reference to imaging, there's a record of fundamental, follow-on and replacement investi- tions acceptable for the suspected analysis. There are lists of imaging beneficial properties with s- porting photos, counsel and radiological differential diagnoses. The alphabetic association makes for a leap to the following suspected prognosis very easily to ? nd whatever superior for the present patient’s needs.
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Extra resources for ABC of Pediatric Surgical Imaging
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.
Air-ﬁlled cysts often of the same diameter (CCAM cysts have different sizes and normal bowel gas in the abdomen). ¼ Associated with unilateral pulmonary hypoplasia (objective of treatment is to re-expand lung and allow growth). 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.
Tips ¼ They look like worms! Radiological Diﬀerential Diagnosis Contrast ﬂuoroscopy demonstrates contrast-ﬁlled enteric canal within parasites (arrows) ¼ As for bowel obstruction Ascariasis (Worm Bolus Obstruction) – Imaging 13 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 14 Surgeon: A. Alexander Radiologist: L. Tebogo Hlabangana Biliary Atresia Clinical Diﬀerential Diagnosis Clinical Insights ¼ Biliary atresia is a cholangio-destructive ¼ ¼ ¼ ¼ ¼ ¼ disease of the bile ducts of unknown aetiology.