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Radiology-Pathology case Correlation

Radiology-Pathology case Correlation. Dawn Light, MD, MPH Associate Professor of Radiology and Pediatrics, WSUSOM Associate Professor of Radiology, USUHS. Case 1. Newborn infant with suspected thoracic abnormality on pre-natal US. Which study do you want?. Chest US

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Radiology-Pathology case Correlation

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  1. Radiology-Pathology case Correlation Dawn Light, MD, MPH Associate Professor of Radiology and Pediatrics, WSUSOM Associate Professor of Radiology, USUHS

  2. Case 1 • Newborn infant with suspected thoracic abnormality on pre-natal US

  3. Which study do you want? • Chest US • Ventilation/Perfusion Scan • Contrast enhanced Controlled Ventilation CT • Non-contrast Chest CT • Just show me the prenatal US

  4. Your Diagnosis? • Congenital Adenomatoid Malformation • Sequestration • Scimitar Syndrome • Diaphragmatic Hernia

  5. Case 2 • 2 month old girl, born at 34 weeks gestation, present s to the ER with a lump in her right groin. Parents state this is new and she is in no distress.

  6. What do you recommend? • Course of antibiotics • Pelvis CT with contrast • Surgical exploration • Needle biopsy • Limited US

  7. Diagnosis • Teratoma • Ovarian Hernia • Inguinal Lymph node • Developmental Hip Dysplasia

  8. Case 3 5 year old male with acute on chronic abdominal pain presents to acute care clinic

  9. Next step? • Lab work for pancreatitis • MRCP • UGI • CT • Labs for Lymphoma

  10. Management? • Course of antibiotics • Surgical exploration • Needle biopsy • H2 Blockers • Combo Therapy – 1 & 2

  11. Case 4 • 4 month old female with stridor and difficulty feeding?

  12. What do you order? • Airway fluoroscopy • Modified barium swallow • Upper GI • Endoscopy

  13. Diagnosis • Tracheal Cleft • Laryngeal Papillomatosis • Cystic Hygroma • Thyroglossal Duct Cyst

  14. Management • Surgical Resection • Lasar Ablation • Long-term Antibiotics/antivirals • Interval Chest CT • Combo Therapy 2 and 4

  15. Case 5 • 5 year old female comes to ER with weight loss and abdominal pain

  16. You recommend • Enema • Abdomen US • Abdomen and Pelvis CT • Endoscopy • pH probe

  17. Diagnosis • Trichobezoar • Lactobezoar • Shih Tzu • Thanks for ruining my lunch

  18. Case 6 • 2 year old with crampy abdominal pain.

  19. What do you order next? • US • Abdomen/ Pelvis CT • Contrast Enema • Air Enema

  20. What is not required for the air enema? • IV access • Analgesics • RN in attendance • Pulse Oximetry • Surgical consult

  21. Case 7 • Newborn with abdominal distension and failure to stool.

  22. Your recommendation • Glycerin suppositories • NG decompression • Decubitus view for free air • UGI • Contrast enema

  23. Diagnosis • Hirschprungs • Colonic atresia • Cystic Fibrosis • Diabetes in Mom

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