Flashcards in Pediatric PPT Deck (30):
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
•Stress, guilt, fear
•Stay calm and remain confident
Easier to approach than inpatients
•Usually children who are very sick
•Parents under various stressors
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?
Always be aware of
- The purpose and significance of tubes, IV’s, etc.
- Any collection routines (diapers, etc)
The single most important precaution to prevent the spread of germs is
Greatest danger is hypothermia
Myelomeninglcele Cared for
in the prone position
Omphalocele & Gastroschisis
Become rapidly hypothermic
One of the most dangerous causes of acute upper airway obstruction in children – treat as an EMERGENCY!
Suspected Child Abuse
Skeletal surveys vs. a baby gram
•Separate images to increase quality of films
•Visualization of joints is essential
It is mandatory in all states to report
suspected child abuse or neglect.
2 most successful tools for pediatric radiography:
Good communication skills
3 ingredients of successful communication:
Immobilization should NEVER
Cause harm to the patient
A child takes nice deep breaths while crying, that a great time to get good inspiration.
Legg-Calve-Perthes disease and congenital dislocation
NEVER touch the public symphysis of a child
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
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
Checking for vesicoureteral reflux (bladder to ureters)
- Checks for advanced or slow skeletal maturation
•Evaluate the degree of fusion between epiphyses and shafts of the bones of the hand and wrist
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.
Ingested foreign bodies
Coins are the most commonly ingested foreign bodies
Biggest negative is length of exam
Concern with radiation dose; useful in diagnosing congenital abnormalities, assessing metastases, etc
Useful in “mapping” a course of treatment; management of spinal trauma
Minimally invasive, vascular and nonvascular