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11 Cards in this Set

  • Front
  • Back
diferences b/t adult and pediatric bones
adults: solid structure
child: unfused plates
disease origin in peds vs adults
adults: mostly acquired
children: congenital and acquired
neonatal chest diseases
hyaline membrane disease
meconium aspiration
congenital diaphragmatic hernia
findings in Hyaline membrane disease
pulmonary immaturity with surfactant deficiency
capillary leak with mucosal necrosis
collapsed debris filled alveoli
X-ray findings immediate to 12 hours
Low lung volumes
"ground glass"
"reticular granular"
Air bronchiograms
pulmonary interstitial emphysema description
complication of mechanical ventilation
causes stiff lung and air block
can lead to tension PTX
cyst-like or linear lucencies
PTX, pneumomediastinum
meconium aspiration findings
Aspirated meconium-mechanical obstruction
Irregular air trapping
Peripheral chemical pneumonitis
Irregualr aeration
Coarse Patchy densities (atelectasis, consolidation)
Focal areas overinflation
+/- pneumomediastinum, pneumothorax
+/- pleural effusion
Congenital diaphragmatic hernia findings
respiratory distress
scaphoid abdomen
failure of diaphragm to close correctly
Bochdalek, left posterior, commonest
Right 5 times less common (liver)
Ipsilateral pulmonary hypoplasia
+/- contralatral pulmonary hypoplasia
eg's of congenital GI disease in children
Hirschsprung disease
Eg's acquired GI disease in children
Wilms tumor description, clinical
most common solid renal tumor of childhood
arises from metanephric blastema
bilateral 5-10%
1 palpable abdominal mass 90%
2 hypertension
3 pain
4 hematuria
5 fever, anorexia
Tx by chemotherapy or surgery
neuroblastoma description
common <2 yrs
retroperitoneal neural crest
encases and elevates vessels
often bilateral
calcifications common