Lateral view of the c-spine show traumatic spondylolisthesis of C2 upon C3. This “hangman’s” fracture (arrow) resulted from a high-speed MVA where the.

Slides:

Advertisements

Similar presentations

Erythematous maculopapular and urticarial edematous plaques are seen on the thighs (A). (B) in a patient 2 weeks after receiving Bactrim. Fever, arthralgia,

Advertisements

(A) Coronal noncontrast sinus CT section (same patient; Figure 9

(A, B) An 8-year-old girl with abdominal pain and cystic mass arising from the right ovary on sonography. Notice fat plug (white arrow). (C) MRI showing.

The fruit is a pea-shaped pod approximately 4 cm in length

A dorsal view of the brain shows severe brain swelling with flattened gyri and effaced sulci. Evidence of brain swelling with herniation was seen on the.

A child presenting with high fever, refusal to eat, and sores in the mouth. (Photo contributor: Binita R. Shah, MD.) Source: Chapter 3. Infectious Diseases,

The fruit is a pea-shaped pod approximately 4 cm in length

(A) Conjunctivitis due to Chlamydia trachomatis is the most common infectious cause of ophthalmia neonatorum. This 10-day-old neonate presented with lid.

(A) Head computed tomographic scan of a young woman who experienced ecstasy-induced syndrome of inappropriate antidiuretic hormone secretion (SIADH) shows.

(A) Extrapyramidal signs seen here such as torticollis, inability to speak, and trismus were the presenting complaints in this girl who was brought to.

(A) Swelling of the knee and pain were the presenting complaints of this 12-year-old adolescent girl who was seen twice in the ED and sent home without.

CT scan of the abdomen demonstrates grade 4 laceration of the spleen, extending to hilum with smaller areas of laceration. Active extravasation was also.

(A) The most commonly aspirated food products by infants and children include peanuts, chunky peanut butter, hot dogs, popcorn, seeds, grapes, raisins,

(A) The king cobra (Ophiophagus hannah) is the world’s longest venomous snake and can measure up to 5.5 m. When undisturbed, they have cylindrical bodies.

Cellulitis spreads more slowly and extends more deeply into the subcutaneous tissues; hence, the borders of cellulitis are ill-defined (in contrast to.

(A) This child dislocated the MCP joint of his thumb as a result of hyperextension force while falling on an outstretched hand. Gentle traction along with.

(A) An axial CT scan demonstrates a grade II splenic laceration with a small amount of hemoperitoneum. (B) An axial CT scan demonstrates a grade III splenic.

(A–D) Progression of 12-Lead ECG obtained from the same patient (Figure 5.41) over a 15-minute period. (A) ECG showing sinus tachycardia at a rate of 150.

(A) A 14-month-old Chinese boy was found unconscious with vomitus on floor of his grandmother’s bedroom. An open tube of a topical rubefacient was also.

(A) A 12-year-old child presented with a painless, rubbery, firm cervical lymphadenopathy of 3 months’ duration. Enlarged lymph nodes extended over both.

Lateral view of the neck shows a goat bone (arrow) in the cervical esophagus in a patient presenting with throat pain that began while eating curry goat.

(A) Asymmetric movements of facial muscles, inability to close right eye (but not left), deviated angle of the mouth and flattening of the right nasolabial.

(A) A frontal view of the chest in a 4-week-old infant presenting to the emergency department (ED) with tachypnea shows a “snowman” or a “figure of 8”

Fish vertebra. (A) Lateral view of lumbar spine shows endplate compression (arrows) due to osteoporosis. (B) Fish drawing (Used with permission from Arash.

A cystoscopic image shows a stone in the urethra that was pushed in the bladder and subsequently fragmented with laser. This 8 year-old child presented.

(A) Longitudinal image of pelvis shows ectopic gestation (EG) outside of the uterus (U). B is bladder. (B) Longitudinal image of EG in left adnexal region,

Linear, bilateral, and symmetrical lines of purpura in the intercostal spaces in a Cambodian boy produced by rubbing with a hot coin in an effort to cure.

This currant-jelly stool was passed by an 8-month-old infant brought to the ED with complaints of vomiting, lethargy, and intermittent episodes of crying.

Coral Snake (Close-Up)

(A) The king cobra (Ophiophagus hannah) is the world’s longest venomous snake and can measure up to 5.5 m. When undisturbed, they have cylindrical bodies.

(A) 12-lead ECG demonstrating atrial flutter with variable conduction in a 10-day-old infant who presented to the emergency department with poor feeding.

Obstructive sleep apnea resulting in significant oxygen desaturation occurred in this child who had a long history of snoring. A nasopharyngeal airway.

(A) Drawing illustrating the quadripod nature of the zygoma

This 10-year-old girl underwent excision of her clitoris and labia minora (as ritual female circumcision) during her early childhood in Africa. Scarred.

A 15-month-old infant with periorbital/facial edema is seen in this photo, which was taken soon after he woke up in the morning. Facial edema is usually.

(A) Drawing illustrating the quadripod nature of the zygoma

Single frontal view of the abdomen shows multiple ingested radio-opaque iron pills. This 17-year-old female with altered mental status was found by her.

(A) Bell palsy is a clinical diagnosis

Copperhead Snake. The Copperhead is frequently encountered in wooded mountains, abandoned buildings, and damp, grassy areas. It is able to climb low bushes.

As seen in this toddler, most patients present with a history of a brief febrile seizure without any postictal neurologic deficits (the overwhelming majority.

Frontal view of the chest showing a coin at the thoracic inlet

(A) The coral snake can be identified by the yellow and red bands that touch while red and black bands do not. The coral snake is a member of the Elapidae.

Left orbital cellulitis with subperiosteal abscess and extensive ethmoid and maxillary sinusitis are seen in this postcontrast CT scan. About 75% to 90%

Intense erythema, eyelid edema, and tenderness due to maxillary sinusitis in an adolescent who had normal vision, full range of eye movements without pain,

Swelling of the phalanges of the right thumb and hemorrhagic rash in an adolescent girl. Her blood culture was positive for N. gonorrhea. (Photo contributor:

(A) White strawberry tongue (edematous red papillae projecting through white-coated tongue is seen on the second day of illness in a child with scarlet.

(A) Worsening jaundice and right-sided abdominal pain were the presenting complaint in this adolescent girl with sickle cell disease. Sickle cell-related.

A 15-year-old boy presented with intermittent headaches and a history of ventriculoperitoneal (VP) shunt that was inserted in infancy but never revised.

A 15-year-old boy presented with intermittent headaches and a history of ventriculoperitoneal (VP) shunt that was inserted in infancy but never revised.

(A) Several round identical purpuric lesions are seen on the back because of cupping that was used to relieve back pain. First- or second-degree burns.

(A) Transverse sonographic image of the right kidney shows small echogenic focus (arrow) in the right kidney, without definite acoustical shadowing. (B)

(A, B) Compare the close-ups of a battery with a coin from two different patients clearly demonstrating the radiographic differences. Battery has a lucent.

The fruit is a pea-shaped pod approximately 4 cm in length

(A) An ultrasound image of an infant with pyloric stenosis

(A) An ultrasound image of an infant with pyloric stenosis

(A) Asymmetric movements of facial muscles, inability to close right eye (but not left), deviated angle of the mouth and flattening of the right nasolabial.

Acute Otitis Externa with marked swelling of the proximal external auditory canal (EAC). Oto wicks can be helpful in stenting the EAC so that otic drops.

(A) Anteroposterior (AP) view of the left shoulder demonstrates a comminuted and displaced fracture of the left proximal humeral metaphysis with widening.

(A) Right upper quadrant pain associated with progressive worsening of scleral icterus was the presenting complaint of this 10-year-old child with sickle.

Because of their impressive size and the relatively low toxicity of their venom, emperor scorpions are often kept as pets. Found in the wild only in Africa,

This autopsy photograph shows marked dilation of the ventricular system and prominent thinning of the cerebral mantle in a child who developed hydrocephalus.

A young male child was referred for evaluation of sexual abuse

Corneal metallic foreign body (FB) is shown (A) and FB being removed by needle at slit lamp is shown (B). (Photo contributor: Douglas R. Lazzaro, MD.)

(A) Swelling, redness, eye pain, and blurred vision were the presenting complaints following blunt trauma in this patient. (B) Close-up showing severe.

The nomogram is also not useful if the time of ingestion is uncertain, if ingestion occurred more than 24 hours before presentation, or if repeated ingestion.

Echinoderms like this starfish have sharp toxin-covered spines projecting out from their legs that can easily become imbedded in human skin. (Photo taken.

The dogs that most often bite people are not strays or wild dogs, but rather pets well known to the victim and owned by the family (15%) or neighbors (75%).

Hip Fracture. Patients with hip fractures often present with the affected extremity shortened, externally rotated, and abducted. Note the rotation and.

Sagittal T2 MRI reveals large abdominal mass (white arrows) with intraspinal extension (red arrow) in a 4-year-old with abdominal distension, vomiting,

(A) Lateral view of the airway shows enlargement of the epiglottis (arrow), thickening of the aryepiglottic folds (A), and amputation of the vallecula.

Presentation transcript:

Lateral view of the c-spine show traumatic spondylolisthesis of C2 upon C3. This “hangman’s” fracture (arrow) resulted from a high-speed MVA where the driver was not wearing a seatbelt. (Photo/legend contributors: Mark Silverberg, MD/Steven Pulitzer, MD.) Source: Chapter 20. Trauma, Atlas of Pediatric Emergency Medicine, 2e Citation: Shah BR, Lucchesi M, Amodio J, Silverberg M. Atlas of Pediatric Emergency Medicine, 2e; 2013 Available at: https://accesspediatrics.mhmedical.com/DownloadImage.aspx?image=/data/books/shah2/shah2_c020f049.png&sec=42537798&BookID=577&ChapterSecID=42532506&imagename= Accessed: November 11, 2017 Copyright © 2017 McGraw-Hill Education. All rights reserved