radiology-pathology case correlation
DESCRIPTION
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 - PowerPoint PPT PresentationTRANSCRIPT
Radiology-Pathology case Correlation
Dawn Light, MD, MPHAssociate Professor of Radiology and Pediatrics, WSUSOMAssociate Professor of Radiology, USUHS
Case 1 Newborn infant with suspected thoracic
abnormality on pre-natal US
Which study do you want?1. Chest US2. Ventilation/Perfusion
Scan3. Contrast enhanced
Controlled Ventilation CT4. Non-contrast Chest CT5. Just show me the
prenatal US
20%20%20%20%20%
Your Diagnosis?1. Congenital
Adenomatoid Malformation
2. Sequestration3. Scimitar
Syndrome4. Diaphragmatic
Hernia1 2 3 4
25% 25%25%25%
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.
What do you recommend?1. Course of antibiotics2. Pelvis CT with contrast3. Surgical exploration4. Needle biopsy5. Limited US
20%20%20%20%20%
Diagnosis1. Teratoma2. Ovarian Hernia3. Inguinal Lymph
node4. Developmental
Hip Dysplasia
1 2 3 4
25% 25%25%25%
Case 3 5 year old male with acute on chronic
abdominal pain presents to acute care clinic
Next step?
1. Lab work for pancreatitis2. MRCP3. UGI4. CT5. Labs for Lymphoma
20%20%20%20%20%
Management?1. Course of antibiotics2. Surgical exploration3. Needle biopsy4. H2 Blockers5. Combo Therapy – 1 & 2
20%
20%
20%
20%
20%
Case 4 4 month old female with stridor and
difficulty feeding?
What do you order?1. Airway fluoroscopy2. Modified barium swallow3. Upper GI4. Endoscopy
25%25%25%25%
Diagnosis1. Tracheal Cleft2. Laryngeal
Papillomatosis3. Cystic Hygroma4. Thyroglossal
Duct Cyst
1 2 3 4
25% 25%25%25%
Management1. Surgical Resection2. Lasar Ablation3. Long-term Antibiotics/antivirals4. Interval Chest CT5. Combo Therapy 2 and 4
20%20%20%20%20%
Case 5 5 year old female comes to ER with
weight loss and abdominal pain
You recommend1. Enema2. Abdomen US3. Abdomen and Pelvis CT4. Endoscopy 5. pH probe
20%20%20%20%20%
Diagnosis1. Trichobezoar2. Lactobezoar3. Shih Tzu4. Thanks for
ruining my lunch
1 2 3 4
25% 25%25%25%
Case 6 2 year old with crampy abdominal pain.
What do you order next?
1. US2. Abdomen/ Pelvis CT3. Contrast Enema4. Air Enema
25%25%25%25%
What is not required for the air enema?
1. IV access2. Analgesics3. RN in attendance4. Pulse Oximetry5. Surgical consult
20%20%20%20%20%
Case 7 Newborn with abdominal distension
and failure to stool.
Your recommendation1. Glycerin suppositories2. NG decompression3. Decubitus view for free air4. UGI5. Contrast enema
20%20%20%20%20%
Diagnosis1. Hirschprungs2. Colonic atresia3. Cystic Fibrosis4. Diabetes in
Mom
1 2 3 4
25% 25%25%25%