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S1

A 6-day-old presents with hematemesis. The child appears


well but has approximately 40 cc of blood on the blanket
brought in by the mother. Temp 98.8F, h/r 128, r/r 35, b/p
75/50. Physical exam reveals a slightly jaundiced, well
hydrated male in no acute distress.The rest of the physical
exam is unremarkable.
What is the correct interpretation of this film?
With these abdominal X-rays, what would be the initial
management of this condition?
Complications of this disease include all of the following,
Risk factors for developing this are:

S2
A 6-year-old male presents with vomiting and
abdominal pain. Vital signs are normal except for a
temperature of 100.4F. Physical exam reveals a
healthy male in mild distress. He appears well hydrated
but not very active. He has some mild diffuse
tenderness on examination of the abdomen.
What is the correct interpretation of this X-ray?
The most correct diagnosis is?
Proper workup may include which of the following?
Rovsing sign is?

S3
A 7-month-old female with vomiting. She appears well hydrated
and her vital signs are normal. She does seem to cry more when
you palpate her abdomen.
What is the correct interpretation of these X-rays?
What is the best initial approach to the treatment of this
condition?
If the gold standard for treatment of this condition is done
within the first 1224 hours, what is the success rate?
If treatment is successful, what is the chance of the condition
recurring?
What would be the contraindication to the current goldstandard treatment for this condition?

S4
This 11-month-old infant fell and struck his
head on a hard surface.
a. Identify the site of the fracture.
b. Which suture does the fracture cross?

S5
The history in this case is that this 2-monthold fell off a bed twice. It should be noted that
this history is highly suspicious.
a. Identify the location of the fracture.

S6
this 2-month-old infant fell onto a hard
surface while she was carrying her infant.
a. Locate the fracture.

S7
This 13-month-old infant was noted to have a
soft swelling on his head 2 days following an
episode of head trauma, following which his
behavior was normal.
a. Identify the fracture.

S8
Identify the fracture in the radiographs below.

S9
Identify the fracture in the radiographs below.

S10
Identify the fracture in the radiographs below.

S11
Identify the fracture in the radiographs below.

S12
Identify the fracture in the radiographs below.

S13
Identify the fracture in the radiographs below.

S14
Identify the fracture in the radiographs below.

S15
A 7-year-old female presents after being pulled
semiconscious from a pool into which she had dove
headfirst. Her airway is cleared and she begins to regain
consciousness. She has a normal exam and no complaints
at this time.
What is your diagnosis?
What is your main concern?
What is your diagnosis?
Your patient develops peripheral tingling, which
progresses to parasthesia and paralysis of the upper and
lower extremities. What should your initial treatment be?

S16
A 2-year-old female presents to the emergency
department with respiratory distress, drooling, and
temperature of 103.8F for 14 hours.
What is your interpretation of this film?
The best therapeutic approach to this patient is?
Which of the following additional clinical findings
is/are consistent with this disease process?
The most likely organism involved in this disease
process is?

S17
A 5-year-old male presents with fever, sore throat, and
hoarse voice for 3 days. Past medical history is
significant for asthma. The child is alert but
uncomfortable . H/r 110, r/r 26, temp of 101.7F, and
po2 of 99% on room air.
What is your impression?
What would be your initial treatment?
What is your diagnosis?
What would be the most appropriate next
therapeutic modality?

S18
A 5-year-old boy presents with head injury and multiple
lacerations to his face and trunk. On exam, he is alert and
crying.
What is your interpretation?
The mechanism of injury in this child is:
The most common cause of this injury is:
What is the main difference between a pseudosubluxation
and a hangmans fracture?
What would be the most useful in distinguishing
pseudosubluxation from a hangmans fracture?

S19
A 20-month-old female presents with a history of
fever, cough, noisy breathing, and drooling.
Temp 101.9F , p/r 170, r/r 30. The child is
nontoxic-appearing and has cervical
lymphadenopathy. Inspiratory stridor is noted
when crying but the remainder of the exam is
normal.
Your interpretation of this X-ray is?
Definitive management of this child should
include?

S20