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    Pediatric X Rays

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    princeej
    This document provides an overview of paediatric x-rays for medical students and residents to review. It includes examples of normal and abnormal chest x-rays showing conditions like transient tachypnea of the newborn, meconium aspiration syndrome, hyaline membrane disease, pneumonia and complications of oxygen therapy. Abdominal x-rays demonstrating pneumoperitoneum, abdominal distension and anorectal anomalies are also shown. Bone x-rays exhibit examples like rickets, scurvy and evidence of child abuse. Multiple choice tests conclude the document to assess understanding.

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    Download as PPT, PDF, TXT or read online from Scribd

    Pediatric X Rays

    Uploaded by

    princeej
    261 views88 pages
    This document provides an overview of paediatric x-rays for medical students and residents to review. It includes examples of normal and abnormal chest x-rays showing conditions like transient tachypnea of the newborn, meconium aspiration syndrome, hyaline membrane disease, pneumonia and complications of oxygen therapy. Abdominal x-rays demonstrating pneumoperitoneum, abdominal distension and anorectal anomalies are also shown. Bone x-rays exhibit examples like rickets, scurvy and evidence of child abuse. Multiple choice tests conclude the document to assess understanding.

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    Pediatric X Rays MBBS final year

    Original Title

    Pediatric x Rays

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    This document provides an overview of paediatric x-rays for medical students and residents to review. It includes examples of normal and abnormal chest x-rays showing conditions like transient tachypnea of the newborn, meconium aspiration syndrome, hyaline membrane disease, pneumonia and complications of oxygen therapy. Abdominal x-rays demonstrating pneumoperitoneum, abdominal distension and anorectal anomalies are also shown. Bone x-rays exhibit examples like rickets, scurvy and evidence of child abuse. Multiple choice tests conclude the document to assess understanding.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    261 views88 pages

    Pediatric X Rays

    Uploaded by

    princeej
    This document provides an overview of paediatric x-rays for medical students and residents to review. It includes examples of normal and abnormal chest x-rays showing conditions like transient tachypnea of the newborn, meconium aspiration syndrome, hyaline membrane disease, pneumonia and complications of oxygen therapy. Abdominal x-rays demonstrating pneumoperitoneum, abdominal distension and anorectal anomalies are also shown. Bone x-rays exhibit examples like rickets, scurvy and evidence of child abuse. Multiple choice tests conclude the document to assess understanding.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    of 88

    PAEDIATRIC X-RAYS FOR UNDERGRADUATES AND HOUSE SURGEONS

    TEST YOUR SKILLS IN READING PAEDIATRIC IMAGING FILMS

    HISTORY- NEONATAL

    Term Premature Maternal diabetes Respiratory distress Supportive therapy oxygen alone or oxygen+ positive pressure ventilation Medical or surgical problem

    TECHNICAL

    CXR PA OR AP VIEW LATERAL SUPINE OR ERECT

    SYMMETRICAL CYLINDRICAL HORIZONTAL RIBS CT RATIO UPTO 65%

    CHEST PA VIEW

    CHEST AP VIEW

    INSPIRATORY AND EXPIRATORY FILM

    CHEST X-RAY OF THE SAME PATIENT

    CHEST X RAY NORMAL THYMIC SHADOW

    CHEST X-RAY OF THE DIFFERENT PATIENT

    HIDDEN AREAS IN CHEST X-RAY

    AIR SPACE DISEASE NEONATES

    HMD TTN MECONIUM ASPIRATION NEONATAL PNEUMONIA OXYGEN TOXICITY PUL.HAGE/EDEMA

    HMD

    Premature newborn with respiratory distress Present at the time of birth & progresses during first hour Absence of surfactant Pathology Diffuse alveolar atelectasis

    HMD

    TTN (Retained fluid synd)

    Term babies Alveoli are filled with unabsorbed alveolar fluid Hyperaeration of lung Thickening of horizontal fissure Resolution within 72 hrs

    TTN

    MECONIUM ASPIRATION SYNDROME

    HYPER INFLATED LUNG DEPENDS ON SEVERITY PATCHY, NONUNIFORM AIR SPACE DISEASE PERIPHERAL AIR TRAPPING

    Complication of therapy in respiratory distress

    EARLY Pneumothorax Pneumomediastinum PIE LATE BPD WILSON MIKITY SYND

    COMPLICATIONS

    COMPLICATIONS

    BPD OXYGEN TOXICITY

    Presents late in first week of life Always sequentially superimposed on moderate to severe HMD which has been treated with high concentration of oxygen over a prolonged period.

    WILSON MIKITY SYND.


    Presents

    third week of life No HMD / Oxygen administration Diffuse interstitial & cystic changes

    LUNG LESIONS
    ill-defined homogeneous opacity obscuring vessels Air-bronchogram Extention to the pleura or fissure No volume loss

    CHEST X-RAY

    BILATERAL CONSOLIDATION

    COLLAPSE

    CHEST X-RAY

    RT.UPPER LOBE COLLAPSE

    RT.LOWER LOBE COLLAPSE

    OBSTRUCTIVE LESIONFOREIGN BODY

    Common cause of respiratory distress Unilateral hyperlucency


    Obstructive emphysema

    CHEST X-RAY

    PPD

    NORMAL

    POST OPERATIVE

    Congenital Lobar Emphysema

    It involves a single lobe Presents with respiratory distress

    CHEST X- RAY

    PNEUMOTHORAX

    SUBCUTANEOUS EMPHYSEMA

    CHEST X -RAY

    DIAPHARGMATIC HERNIA

    ADENOIDS

    HEART

    NORMAL HILAR VESSELS - CT

    BOOT SHAPED HEART FALLOT`S TETRALOGY

    TRANSPOSITION OF GREAT ARTERIES

    DEXTROCARDIA

    EBSTEIN `S ANOMALY

    PERICARDIAL EFFUSION

    TAPVC

    ASD

    ABDOMEN X-RAY

    AIR UNDER THE DIAPHARGM

    FOOT BALL SIGN PNEUMOPERITONEUM

    Baby with abdominal distension

    ANORECTAL ANOMALY

    CLAW SIGN

    VESICOURETERIC REFLUX

    TUBERCULOMA

    BRAIN ABSCESS

    DD FOR RING ENHANCING LESION

    Granulomas Pyogenic abscess Septic emboli Metastases Cysticercosis

    CYSTICERCOSIS

    CLINICAL DIAGNOSIS ?

    RICKETS
    1.Loss of zone of provisional calcification 2.wide physis (> 1 mm) (increased osteoid) 3.Cupping, fraying + irregularity of metaphyses 4.Bowing of long bones 5. Decreased bone density 6. Rachitic rosary

    3 2 1

    SCRUVY

    SCURVY FEATURES
    1.Wimberger`s ring Small epiphysis surrounded by a sharp a sclerotic rim.

    2. Sub periostoeal haemorrhage


    3.White line of Frankel Dense band at the growing metaphyseal and involving the provisional zone of calcification.

    4 1

    4.Trummerfeld scurvy zone Transverse band of radiolucency beneath the dense zone of provisional calcification.

    5.Pelkan`s spur Marginal spur formation is called pelkan`s spur

    RICKETS

    SCURVY

    CHILD ABUSE BATTERED BABY SYNDROME, SHAKEN INFANT SYNDROME

    BUCKET HANDLE FRACTURE

    TEST 1

    WHEN YOU WANT TO SEE FREE AIR UNDER DIAPHARGM IDEAL X-RAY CHEST X-RAY ABDOMEN ERECT ABDOMEN SUPINE ABDOMEN DECUBITUS

    TEST 2

    TEST 3

    SPOTTER

    SPOTTER

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