Radiology
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To assess the feasibility and complications of peripherally inserted central catheters (PICCs) in pediatric patients. ⋯ Fluoroscopically guided PICC placement is feasible and safe in pediatric patients.
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To evaluate the incidence and specificity of fracture of the first rib as an indicator of child abuse and to determine a mechanism of fracture. ⋯ Child abuse should be considered in cases of pediatric rib fracture, particularly fracture of the first rib. Possible mechanisms for first-rib fracture include impact force, compressive force, and shaking or acute axial load (slamming), which cause an indirect fracture.