Pediatric PPT Flashcards Preview

Hannah RAD III > Pediatric PPT > Flashcards

Flashcards in Pediatric PPT Deck (30):
1

How much parents can participate depends on:

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

2

Emergency Patients

•Stress, guilt, fear
•Stay calm and remain confident

3

Outpatients

Easier to approach than inpatients

4

Inpatients

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

5

Take note of the following:

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?

6

Always be aware of

- The purpose and significance of tubes, IV’s, etc.
- Any collection routines (diapers, etc)

7

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

Handwashing

8

Premature Infants

Greatest danger is hypothermia

9

Myelomeninglcele Cared for

in the prone position

10

Omphalocele & Gastroschisis

Become rapidly hypothermic

11

Epiglottitis

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

12

Osteogenesis Imperfecta

Brittle bones

13

Suspected Child Abuse

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

14

It is mandatory in all states to report

suspected child abuse or neglect.

15

2 most successful tools for pediatric radiography:

Effective immobilization
Good communication skills

16

3 ingredients of successful communication:

Reassurance
Praise
Distraction

17

Immobilization should NEVER

Become traumatic
Cause harm to the patient

18

Chest Radiography

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

19

Hip Radiography

Legg-Calve-Perthes disease and congenital dislocation
NEVER touch the public symphysis of a child

20

Skull Radiography

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

21

Abdominal Radiography

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

22

VCUG

Checking for vesicoureteral reflux (bladder to ureters)

23

Bone Age

- Checks for advanced or slow skeletal maturation
•Evaluate the degree of fusion between epiphyses and shafts of the bones of the hand and wrist

24

Aspirated foreign bodies

•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.

25

Ingested foreign bodies

Coins are the most commonly ingested foreign bodies

26

MRI

Biggest negative is length of exam

27

CT

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

28

3D Imaging

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

29

Interventional Radiography

Minimally invasive, vascular and nonvascular

30

Nuclear Medicine

These exams assess function rather than show anatomy