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
 

USG AND PEDIATRIC ABDOMEN :

  • Other abdominal masses -

      Cystic masses -
      • Mesenchymal & omental cyst
      • Cystic teratoma
      • Duplication cyst
      • Ovarian cyst
      • Hydrometrocolpos
      • Pancreatic pseudocyst


      Solid masses -

Urinary tract infection :
It is the 1st line of investigation in any child with a proven urinary tract infection. Vesico-ureteric reflux may be demonstrated by non-invasive means with the aid of colour Doppler examination. Acute pyelonephritis, acute lobar nephronia, renal abscess, pyonephrosis, chronic pyelonephritis and neonatal candidiasis can also be detected.


The acute abdomen :
  • Appendicitis - commonest cause
  • Intussusception - diagnosis & treatment (hydrostatic reduction)
  • Pyelonephritis
  • Cystitis
  • Pancreatitis
  • Cholecystitis
  • Gastroenteritis
  • Mesenteric adenitis very limited role
  • Meckel's diverticulum
  • Renal calculi
  • Intestinal obstruction

The vomiting infant :
  • Hypertrophic pyloric stenosis
  • Duodenal obstruction - Malrotation & volvulus - Colour Doppler studies aid in the diagnosis by demonstrating SMV anterior or to the left of SMA
  • Gastroesophageal reflux
  • Duodenal atresia

Trauma :
Ultrasound forms the first line of investigation to look for free fluid in the abdomen and injury (contusions/lacerations/hematoma) to the liver, kidney, spleen, pancreas & bladder.

Jaundice in the neonate :
Ultrasound helps to differentiate between neonatal hepatitis, biliary atresia and choledochal cyst- the three common cause of neonatal jaundice.

Medical renal disease :
  • Acute and chronic glomerulonephritis
  • Grading severity of parenchymal disease
  • NEPHROCALCINOSIS - cortical | medullary
            - Medullary (common causes) - Medullary sponge kidney, renal           tubular acidosis, hyperparathyroidism, hypervitaminosis D,           hypercalcemia, hypercalciuria, milk alkali syndrome, hyperoxaluria
            - Cortical - Glomerular nephritis

 
 
Educational Section
 
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