By S. Cox, A. Maydell (auth.), Savvas Andronikou, Angus Alexander, Tracy Kilborn, Alastair J. W. Millar, Alan Daneman (eds.)
This guide is meant for medical professionals operating during this ? eld. It belongs to the pocket of a pupil, residence of? cer, resident, scientific of? cer or generalist advisor, who will ? rst see the sufferer. The clinician must suspect no less than one disorder procedure as a place to begin, as the e-book is ordered alphabetically in line with diagnoses. From this element there are either surgical and imaging differential diagnoses indexed. those is additionally checked out in the ebook. For the clinician there's a committed web page to aid with medical indicators and symptoms, substitute diagnoses and urgency of the radiological research, in response to vital info that's wanted from imaging. in regards to imaging, there's a record of basic, follow-on and replacement investi- tions applicable for the suspected analysis. There are lists of imaging positive factors with s- porting photos, guidance and radiological differential diagnoses. The alphabetic association makes for a bounce to the following suspected analysis conveniently to ? nd whatever stronger for the present patient’s needs.
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Additional resources for ABC of Pediatric Surgical Imaging
Radiological Diﬀerential Diagnosis Tips ¼ US for abdominal imaging ¼ CT/MRI for thoracic imaging ¼ Gut signature may be lost in inﬂammation, ulceration, or perforation ¼ Enteric non-duplication cysts are rare – no double layer as they lack hypoechoic muscle layer ¼ Can intussuscept or cause obstruction ¼ Mesenteric cysts – Uni/multilocular with ¼ ¼ ¼ ¼ high protein content on MRI (no gut signature) Meckels diverticulum (gut signature) Lymphatic malformation (cystic multiseptated) Ovarian cyst (location similar to ileal duplication) Urachal cyst (connection to bladder) Duplication Cyst (Enteric Cyst) – Imaging 37 A B C D E F G H I J K L M N O P Q R S T U V W X Y Z 38 Surgeon: J.
CT ¼ Pleural thickening and enhancement (Rind) ¼ Split pleura sign ¼ Underlying parenchyma – necrosis, CT – Demonstrates a complex pleural collection with air pockets and an enhancing lung edge (small arrows). There is also a pleural “rind” (thick arrow) and underlying lung parenchymal consolidation and breakdown (long arrows) abscess, consolidation Radiological Diﬀerential Diagnosis ! ¼ Transudate: Low HU; hypoechoic ¼ Chylothorax: Neonates; post-thoracic Tips ¼ US – No loculation, mobile lung and minimal/no debris allows for urokinase therapy via chest tube surgery ¼ Malignancy: Lymphoma; pulmonary blastoma ¼ Lung abcess/cavitatory necrosis: Best deﬁned by CT Empyema – Imaging 39 A B C D E F G H I J K L M N O P Q R S T U V W X Y Z 40 Surgeon: A.
Relationship to neighbouring organs. e. urinary, Warnings ¼ Cervical and thoracic duplications may have abdominal communication and are associated with vertebral anomalies (split notochord). ¼ Can present with volvulus of involved gut. ” Note the hyper-echoic inner and outer rims and hypo-echoic central muscular layer (arrows) ¼ ¼ ¼ ¼ ¼ Cystic lesion in abdomen May be mobile between examinations Debris common May see peristalsis Gut wall “signature” very suggestive – echogenic mucosa, hypoechoic muscular layer, echogenic serosa CT ¼ Well-deﬁned cystic mass related to bowel/ pancreas ¼ Non-speciﬁc as gut signature not visualized ¼ Relatively thick enhancing wall ¼ ±Fluid/debris layers MRI ¼ Cyst content (High T2 signal reﬂects simple ﬂuid nature) CT – Displaying a well-deﬁned cyst with a thick wall (thick arrow) abutting the duodenum (thin arrow) !