1 / 20

Part 3.0 Standardised Interpretation of P aediatric AXR

Part 3.0 Standardised Interpretation of P aediatric AXR. Done in collaboration with: The Northern School of Radiology, UK County Durham and Darlington NHS Foundation Trust Authors: Dr . Alasdair Mackie MD Dr . Abdelrahman Omer MD Dr . Ramdas Senasi MD. Aim.

kebron
Download Presentation

Part 3.0 Standardised Interpretation of P aediatric AXR

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Part 3.0Standardised Interpretation of Paediatric AXR Done in collaboration with: The Northern School of Radiology, UK County Durham and Darlington NHS Foundation Trust Authors: Dr. Alasdair Mackie MD Dr. Abdelrahman Omer MD Dr. Ramdas Senasi MD

  2. Aim • Demonstrate a systematic approach in the interpretation of paediatric Abdominal X-rays using ABCDE method.

  3. Test you skills

  4. The answer is • Splenomegaly and right femoral head sclerotic abnormality. • How not to miss it • Systematic approach

  5. Systematic approach Technique • A - Air • B - Bones and Bowel • C – Calcification and soft tissue. • D - Diaphragm • E - Extra body equipment

  6. Child vs AdultAnatomy

  7. Systematic approach • Air: • B • C • D • E • Extra-luminal air – always pathological. • Intra-luminal air – it depends on the distribution

  8. Gastric bubble Small bowel gas distribution centrally Large bowel gas peripheral NO EXTRA)LUMINAL FREE GAS Gas in the rectum

  9. Systematic approach • A • Bone and Bowel: • C • D • E Bones: ribs, pelvis, femur, spine. Bowel: Thorough look at the bowel dilatation from stomach to rectum

  10. Spine Ribs Thin bowel wall Femur Pelvic bones

  11. Systematic approach • A • B • Calcifications and soft tissue • D • E • Easy to miss especially soft tissue because of poor contrast difference • E.g: Hepatosplenomegaly

  12. Spleen Abnormal calcifications Liver Left Kidney Left psoas muscle line

  13. Systematic approach • A • B • C • Diaphragm: • E • Should be clear and crisp. • Not to miss lung bases or air under diaphragm

  14. Lungs bases No air under diaphragm

  15. Systematic approach • A • B • C • D • Extras: • Check for lines and tubing

  16. Temperature probe Endotracheal tube Nasogastric tube Umbilical vein catheter Umbilical artery catheter

  17. Test you skills now!

  18. Summary • Demonstrated a systematic approach to paediatric AXR using ABCDE.

  19. Thank you for your attention. • Any questions?

  20. References • Images obtained from following resources; • https://www.pinterest.com/pin/241927811204734854/ • http://www.pedrad.org/portals/5/events/2013/markowitz-abdradiograph.pdf • Radiopaedia.org

More Related