4th Pediatric Infectious Diseases Conference
 
 
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Pedi Poll
Today's Poll
Should teicoplannin, colistin be used in case of neonatal sepsis where culture does not reveal any organism_?
No, it should be used only after drug sensitivity report
Yes, under guidance of an infectious disease expert
Ultrasonography in Children
ULTRASONOGRAPHY IN CHILDREN
Dr. Chander P. Lulla
Consultant Radiologist
B.J. Wadia Children's Hospital
Jaslok Hospital
 

DOPPLER EXAMINATION OF THE ABDOMEN:

  • Evaluation of the splanchnic venous system in the child with portal hypertension

  • Assessment of the renal circulation in trauma and disease affecting the main renal arteries, veins or small intra renal vessels.

  • Determination of patency of vessels (aorta and inferior vena cava), especially following surgery or in the presence of tumours
    (e.g. Wilm's)

  • Evaluation of acute scrotal disease (torsion v/s epididymo-orchitis)

  • Assessment of vascularity and rejection of transplant organs (kidney, liver)

  • Identification of unknown structure (tortuous portal vein versus dilated bile duct, dilated vein versus dilated ureter or lymphatic channel)

  • Identifying refluxing or obstructed ureter by the abnormal urine jet it emits into the bladder.

  • Distinguishing obstructive hydronephrosis from other causes of urinary tract dilatation by assessing intra-renal arterial resistance

  • Defining malignant nature of a mass by its abnormal vascularisation

ORBITAL ULTRASOUND

  • To study the posterior segment in case of congenital cataract, corneal opacity

  • Evaluation of Vitreo-retinal disorders

  • Identification & localisation of intraocular foreign body

  • Diagnosis & follow up of ocular tumours - retinoblastoma, metastasis (neuroblastoma, Ewing's sarcoma, lymphoma), optic nerve glioma, rhabdomyosarcoma, dermoid cyst

  • Infections - cellulitis, orbital abscess, cysticercosis, hydatid cyst

  • Colour Doppler flow imaging
    • Evaluation of ocular tumours
    • Study of vascular disorders of the orbit-central retinal artery or vein occlusion, carotico-cavernous fistulae

  • Orbital trauma
Last updated on 08-08-2002


 
 
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