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.
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, [...]
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.
I think it's amazing that the Pediatric Emergency Care Applied Research Network has been turned into a verb. As in, "I PEACARN'ed that kid with the head injury and we don't need a CT." This is one of the most widely used tools in our arsenal when caring for injured children in the ED.
Archit Sahai, Pediatric Resident from Cincinnati Children's wondered whether or not we should get a right lower quadrant ultrasound if a child with strep, flu, or mono has right lower quadrant pain. I bet a lot of you have asked that same question.
This edition of PEMPix Classic features a young lady with urinary retention and a strong protruding mass. There's also a cool ultrasound.
This edition of Facts on the Ground looks at whether or not ultrasound of the eye and optic nerve can help predict shunt malfunctions.
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 [...]
This edition of The Reading Room is all about airway films. Drs. Kopp (Emergency Medicine) and Hasweh (Radiology) shared these cases at a recent conference in the Division of Emergency Medicine at Cincinnati Children's. Case 1 The first case is a 2 year old healthy immunized male with stridor at rest and a barky cough. He is tachypneic, and very obviously [...]
Pediatric fracture interpretation revolves around the Salter-Harris Classification System. Ultimately, the five subtypes have important implications for management and healing. Learn all about them in this edition of The Reading Room, a new Radiology focused series on PEMBlog.
