Pediatric radiology
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Pediatric radiology · Aug 2001
Case ReportsAcute gastric dilatation complicating the use of mydriatics in a preterm newborn.
A 2-month-old girl who had been born at 27-weeks' gestation was admitted for her screening examination for retinopathy of prematurity and given two drops each of cyclopentolate 0.5% and phenylephrine 2.5%. Approximately 2 h after completion of the examination, the infant had episodes of apnoea and vomiting. She was noted to be distended, and an abdominal radiograph demonstrated acute gastric dilatation. Apnoea, vomiting and distension resolved after 18 h and a repeat abdominal radiograph demonstrated resolution of the gastric dilatation.
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Pediatric radiology · Jun 2001
Diagnostic and interventional ultrasonography in neonatal and infant lumbar puncture.
Lumbar puncture (LP) may be unsuccessful clinically, prompting image-guided LP by radiologists. Objective. To investigate the utility of ultrasound (US) in diagnosing the cause of failed LP and in guiding LP. ⋯ US can disclose the cause of failed LP, can help determine whether or not to intervene further, and can provide guidance for LP.
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Pediatric radiology · May 2001
The value of routine chest radiographs in a paediatric intensive care unit: a prospective study.
In many paediatric intensive care units (PI-CUs) chest X-ray films (CXRs) are required as part of the daily examination or after completion of invasive procedures. ⋯ The indications for the majority of CXRs in our PICU appeared to be in accordance with ACR guidelines. The high percentage of malpositioned tubes and lines and the number of cardiopulmonary changes on CXRs in a PICU underline the value of these films. Adjustments of the ACR guidelines for particular groups of paediatric patients may limit the number of CXRs taken and may further increase diagnostic efficacy.
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Pediatric radiology · Apr 2001
Case ReportsSickle cell disease with orbital infarction and epidural hematoma.
Although bone infarction is a common feature in sickle cell disease, the involvement of the orbit is an unusual complication. Intracranial bleeding is another uncommon and serious complication. ⋯ We report imaging findings (CT, bone scan, MRI) in a 16-year-old boy with sickle cell disease with orbital infarction and epidural hematoma. The precise cause of epidural hematoma is not well known, but it is probably related to vaso-occlusive episodes and the tearing of small vessels.
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While sedation is necessary for much pediatric imaging, there are new alternatives that may help patients hold still without medication. ⋯ The use of this video system reduced the number of children requiring sedation for MRI examination by 18%. In addition to reducing patient risk, this can potentially reduce cost.