HPS - age range - criteria - BW?

- 2-12w - 4mm single wall, 14 mm length - paradoxycal aciduria

Last minute essentials Flashcards by Alejandra Ramirez

CHARGE

Coloboma
heart defect
retarded growth
GU abnorm
Ear anomalies

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CXR: high volume, ropy perihilar opacities, +/- PTX

Mec aspiration syn

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CXR: low volumes and bilateral granular opacities

SSD (arena, no hay fluido), GBSP

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Leading cause of death in sickle cell patients

acute chest

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Bronchiectasis like CF but lower lung predominance

PCD

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Big fucking mass in the chest of a 2 yr old

Pleuropulmonary Blastoma (PPB): normal ribs
Askin tumor (Ewing): eats rib

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Ideal spot for umbilical v cath

IVC/RA junction

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Cathether that goes down first in Neonate
umbilicus, umbilical artery, iliac artery, then aorta.
SHould be posiitoned low or high to avoid renal arteries

UAC.
T8-T10 or L3-L5
Omphalocele is contraindication

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Cathether that goes down first in Neonate
umbilicus, umbilical artery, iliac artery, then aorta.
SHould be posiitoned low or high to avoid renal artery thrombosis (presents as HTN)

UAC.
T8-T10 or L3-L5
Omphalocele is contraindication

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VACTERL

Vertebral anomalies
Anal imperforation
Cardiac
TE F or Esoph atresia
R renal
Limb (radial ray)

Dx when 3 or more are present

heart and kidney are the MC affected organs.

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Only variant that goes between esophagus and trach

assoc w tracheal stenosis

Pulm sling

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Dysphagia Lusoria

left arch w aberrant R subclav

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Bilious vomiting is ___ until proven otherwise. Next step?

MGV

upper GI

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Non bilious vomiting?

- nxt step?

HPS

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Jejunular atresia secondary to

vascular insult
look for additional atretic segments
Triple bubble

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dubble bubble but

very very distended? NO dista air NADA
not so distended?

Duodenal Atresia

- MDG

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SMA to the right of SMV on US or CT

Malrotation

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HPS

age range
criteria
BW?

2-12w
4mm single wall, 14 mm length
paradoxycal aciduria

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Which gastric volvulus can cause ischemia and needs to be fixed?

Mesenteroaxial, flips over short axis, MC in monsters (kids)

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Duodenal web is assoc w

malrotation and Down Syndrome

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short microcolon

colonic atresia

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short microcolon

colonic atresia (vascular insult)

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Colon with caliber change on lower GI

Small left microcolon

Hirschsprung

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Rectum smaller than sigmoig (ratio < 1) or saw tooth pattern

Hirschsprung

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Spinal asocc with imperforate anus

tethered cord (get US) | always think VACTERL

Hernias Lateral to inf epigastric

Indirect (MC in kids)

Age range of intusscupetion

3 mo - 3yr

If pt perforates while reducing intusscuecption and gets tension pneumoperitoneum. Nxt step?

Needle decompression | Pressure should not exceed 120mmHg

Gastroschisis facts

- no membrane - R>L - assoc w anomalies are rare - high serum AFP - assoc w intestinal atresias - liver + stomach

Omphalocele

- midline - membrane - many assoc.

MC cause of pancreatitis in kids

trauma

Peds pancreatic mass at age 1? age 6? age 15

- pancreatoblastoma - adenoCA - SPEN

Liver massess in tumors nxt thing to look at in question stem ? < 1 yoa < 5 > 5

age - Infantile Hepatic Hemangioma (high EGF, Kasaback Merrit syndrome, HOCF, spont involute) - Hepatoblastoma (Syndromic assoc, Well circum solid RIGHT sided mass, calcs 50%, high AFP, Precocious puberty) - > 5: HCC, Fibrolamellar (< 35, NON. enhancing central scar, T2 dark), embryonal sarc

NON enhancing central scar, T2 dark

FIbrolamellar

Type 5 choledocal cyst

intrahepatic only (Caroli)

Intra + extra hep choledochal cysts type?

Central dot sign

PV surounded by dilated bile ducts

Central dot sign

PV surrounded by dilated bile ducts

cysts in the kidney + liver fibrosis.

AR-PCKD

The purpose of liver bx in congenital biliary atresia is to exclude

Alagille Syn (hereditary cholestasis)

Kid with gallstones + no spleen, think ...

SCD

Isomerism with reverse aorta & IVC

right isomerism

Type of cancer with horseshoe kidney? | Syndorme?

- renal carcinoid, Wilms, TCC | - Turner

Congenital UPJ tx

pyeloplasty (radiologist can look for overlying vessels prior t procedure)

UPJ obstruction vs Extrarenal pelvis

Whitaker test

Smoothly enlarged echogenic kidneys with loss of CM diff. in child.

AR-PCKD****

Neonatal RV thrombosis assoc w

maternal diabetes

Kid shaped like a pear (abd musculature def) cryptorchid hydroureteroneph

Prune Belly (Eagle Barret)

Reverse J fishhook appearance of ureter

Retrocaval (circumcalva ureter)

cobra head sign

Ureterocele (secondary to obstruction of ureteral orifice) assoc w duplicated collecting system

Weigert Myer rule

UInfmedUO | LLatR

Midline bladder structure mass

AdenoCA at patent urachus

Manta Ray sign {AM}

bladder extrosphy (inc risk of CA)

Solid organ GU- Neonate diff dx? u born w it

- Nephroblastomatosis | - Mesoblastic Nephroma

Solid organ GU- Neonate diff dx? u born w it

- Nephroblastomatosis (hypodense rind, rests that didnt regress, can turn into Wilms, f/u w US) - Mesoblastic Nephroma (benign hamartoma, MC renal tumor in infancy, polyhydramnios)

Solid organ GU- Around age 4 diff dx?

- Wilms (solid ball, lung mets) - Lymphoma - Multicystic nephroma (young boys, middle age women, herniates into renal sinus, resect)

Solid organ GU- Teenager diff dx?

- RCC (solid tumor of adolesents, assoc VHL, TS) | - Lymphoma

Multiple tiny cyst with no functioning renal tissue

Multicystic Dysplastic Kidney 50% contralateral renal abnorm Renal scintigraphy w/o excretory function

I say Beckwidth-Widemann you say...

WHO? - Wilms - Hepatoblastoma, hemihypertrophy - Omphalocele

Biopsy for Wilms tumor?

NO! You can seed the tract and upstage.

MC bladder CA in humans < 10 yoa

Rhabdomyosarcoma | BW: {paratesticular mass}

Raccoon Eyes

Orbital Neuroblastoma

Adrenal gland tumor frequantly contrasted with Wilms... | and differences?

Neuroblastoma | < 2yoa, calcifies 90%, mets to bones, MIBG

Nxt step adrenal mass in neonate

F/U Us imaging

Cerebriform adrenal

CAH

MCC idiopathic scrotal edema

HSP

Peutz Jeghers and bilateral scrotal massess

Sertolli cell tmors

Sacroccoccygeal Teratoma resection involves...

cutting out the coccyx if not it reccurs.

Cellery stack

Congenital rubella

Destruction of the medial portion of the prox metaphysis of tibia

Syphilis (Wimberger sign)

Dead. dward with short ribs

Jeune

Telephone receiver + cloverleaf head

Thanatophoric dysplasia

Many bifid ribs

Gorlin Syndrome

Erlenmeyere flask shaped femurs

Gaucheres

The commonly accepted minimum diameter for treating a true aneurysm of the splenic artery is

2.0 to 2.5 cm

Coalescent peripheral hepatic nodules with target-like appearance and capsular retraction

Liver epithelioid hemangioendothelioma

A Segond fracture is an avulsion fracture at the attachment of the lateral collateral band due to internal rotation and varus stress.

assoc w ACL injury

T2 hyperintense late enhancing scar + SC and + HIDA, Barely perceptiple w/o contrat.

FNH.

1. Empty thecal sac sign | 2. Central nerve root clumping

arachnoiditis

+CE of Nerve roots of cauda equina | facial N is the MC n. affected

GBS

Thickened enhancing onion bulb nerve roots. Dread locks.

Chronic inflammatory demyelinating polyneuropathy (CIDP)

Last minute essentials Flashcards

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