A video that teaches you how to talk about why we don’t need chest X-Rays in respiratory illnesses

By |2023-08-27T10:18:24-04:00September 1st, 2023|Choosing Wisely, Infectious Diseases, Radiology|

Did you know that chest X-Rays are not recommended for most children with respiratory problems such as bronchiolitis, asthma exacerbations, croup, or first-time wheezing. Choosing Wisely recommends that doctors and all medical providers have detailed conversations with patients and their families about why X-Rays are unlikely to give new information or provide any additional reassurance. They also expose young children to unnecessary radiation. This video features Dr. Vincent Alexander who conducts a simulated discussion with a parent of a child with a respiratory illness.

You don’t need X-Rays in a child with bronchiolitis, croup, asthma, or first time wheezing

By |2023-10-11T14:10:39-04:00August 30th, 2023|Choosing Wisely, Infectious Diseases, Pulmonology, Radiology|

This is a blog post and a podcast episode designed to disseminate the important work of Choosing Wisely, an initiative of the the American Board of Internal Medicine Foundation, the goal of which is the spark conversations between clinicians and patients about what tests, treatments, and procedures are needed – and which ones are not. Expert Contributors Michele Nypaver, MDUniversity [...]

Why we do what we do: Ankle injury imaging rules in children

By |2023-04-19T15:41:26-04:00April 19th, 2023|Orthopedics, Radiology|

There are several decision rules for ankle injury X-Rays in children. Ankle fractures occur most commonly in 10-15 year olds, and usually result from an inversion injury mechanism. Sprains are far more common and usually involve the anterior talofibular ligament. Let's briefly review some of the existing rules that we use to (hopefully) help us order fewer ankle X-Rays.

A podcast on using ultrasound to diagnose acute appendicitis

By |2022-03-31T11:17:53-04:00March 25th, 2022|Podcasts, Radiology, Surgery|

This episode of PEM Currents: The Pediatric Emergency Medicine podcast is focused on the use of ultrasound to make the diagnosis of acute appendicitis. You'll learn about how a right lower quadrant ultrasound is performed, what we look for on the images, how to interpret positive, negative, and intermediate/equivocal results and much more! This episode was co-produced by Liz Lendrum, [...]

A podcast on intussusception

By |2022-02-11T14:36:15-05:00February 11th, 2022|Podcasts, Radiology, Surgery|

This episode reviews the diagnosis and management in practical manner that should help you on your next shift. It also features the talents of Kriti Gupta, MD, a Pediatric Emergency Medicine fellow from NewYork Presbyterian Brooklyn Methodist Hospital who is both the producer and host of this episode. 

The Reading Room: April 2019

By |2019-04-05T15:21:00-04:00April 8th, 2019|Orthopedics, Radiology|

Case 1: Shoulder the burden A 13 year old presents with right shoulder and left chest pain in the setting of fever.  The exam is significant for tenderness of the right shoulder and upper arm. The initial X-rays are negative. The patient subsequently underwent an MRI. MRI Shoulder: Subperiosteal abscess with associated osteomyelitis The patient subsequently went to OR for I&D [...]

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