A5073346937- Congenital Diaphragmatic Hernia Studies
- Congenital Heart Disease Studies
- Intestinal Malrotation and Obstruction Disorders
- Gastrointestinal disorders and treatments
- Pediatric Hepatobiliary Diseases and Treatments
- Radiology practices and education
- Congenital Anomalies and Fetal Surgery
- Tracheal and airway disorders
- Ultrasound in Clinical Applications
- Neonatal Respiratory Health Research
- Connective tissue disorders research
- Radiation Dose and Imaging
- Emergency and Acute Care Studies
- Pleural and Pulmonary Diseases
- Abdominal Trauma and Injuries
- Esophageal and GI Pathology
- Appendicitis Diagnosis and Management
- Dermatological and Skeletal Disorders
- Cardiovascular and Diving-Related Complications
- Medical Imaging and Pathology Studies
- Pneumonia and Respiratory Infections
- Elbow and Forearm Trauma Treatment
- Coronary Artery Anomalies
- Congenital gastrointestinal and neural anomalies
- Child Abuse and Related Trauma
Children's Hospital of Philadelphia
2007-2020
University of Pennsylvania
1998-2020
Philadelphia University
1990-2019
Boston Children's Hospital
2014
California University of Pennsylvania
2013
University of Michigan–Ann Arbor
1987-2008
Riley Hospital for Children
2008
Children's National
2008
Mallinckrodt (United States)
2008
Pennsylvania Hospital
2000-2008
Normal splenic size in infants and children: sonographic measurements.H K Rosenberg, R I Markowitz, H Kolberg, C Park, A Hubbard D BellahAudio Available | Share
While testifying in child abuse cases, physicians have been frustrated by the lawyer who asks, "Doctor, how did this injury happen?" The medical records and radiographs of 215 children younger than age 3 with fractures evaluated a pediatric service during 5-year period were retrospectively reviewed an attempt to elucidate mechanism childhood fractures. Based on these reviews, two clinicians radiologists rated likelihood that fracture was either accidental or due abuse. Long-bone strongly...
Abstract BACKGROUND: Although chest radiography is commonly used to establish the diagnosis of pneumonia in children, reliability radiographic findings among radiologists not well described. OBJECTIVE: We sought evaluate inter‐rater and intra‐rater features described by childhood pneumonia. METHODS: Prospective case‐based study. One hundred ten radiographs children evaluated a pediatric emergency department for suspicion were interpreted six at two academic children's hospitals. Radiologists...
A submicroscopic deletion of chromosome 22q11.2 has been identified in the majority patients with DiGeorge syndrome, velocardiofacial conotruncal anomaly face and some isolated cardiac anomalies, Opitz G/BBB Cayler cardiofacial syndrome. We have evaluated 181 this deletion. describe our cohort patients, how they presented, what learned by having same subspecialists evaluate all children. The results help define extremely variable phenotype associated will assist clinicians formulating a...
Adequate sedation remains one of the most important parts performing high quality cross-sectional imaging in children. This is a noncomparative retrospective analysis existing protocols used 1,158 children between ages 1 day and 18 years, checking for safety efficacy. The commonly drugs were chloral hydrate (60–120 mg/kg) by mouth infants <18 months intravenous Nembutal (2–6 older Sedation was successful 97% patients.
Cystic fibrosis (CF), the most common lethal autosomal recessive disease in white populations, is characterized by dysfunctional chloride ion transport across epithelial surfaces. Although recurrent pulmonary infections and insufficiency are principal causes of morbidity death, gastrointestinal symptoms commonly precede findings may suggest diagnosis infants young children. The protean manifestations CF result primarily from abnormally viscous luminal secretions within hollow viscera ducts...
Intestinal malrotation is a major diagnostic challenge in children. Sometimes the prognostic significance of findings from upper gastrointestinal tract examinations unclear. In series 69 surgically proved cases, authors studied prevalence and clinical consequences various radiographic patterns correlated surgical with location duodenum cecum. Seven duodenal were observed. Almost all children had abnormalities rotation or fixation both colon, resulting narrowing mesenteric base potential for...
To determine the relative accuracy of various radiologic signs Hirschsprung disease (HD), we retrospectively reviewed both radiographs obtained after a barium enema and medical records 62 children who had surgery to prove or exclude diagnosis HD. The visualization rectosigmoid transition zone was highly predictive HD, but nonvisualization did not rule out A false positive at splenic flexure seen in four neonates small left colon syndrome rather than Retention on 24 hours specific sign, it...
Fractures and epiphyseal injuries in the region of elbow are uncommon infants young children, but they can be very difficult to diagnose delineate accurately. In addition plain radiography, invasive or costly procedures such as arthrography magnetic resonance imaging traditionally have been used evaluate these injuries. We high-resolution real-time ultrasonography a suspected injury seven one ten-year-old child. Three had physeal separation, two supracondylar fracture, no skeletal injury....
To analyze difficult diagnostic cases of malrotation to identify features crucial accurate diagnosis.The authors reviewed the radiographs and records 81 symptomatic children who underwent surgery with a preoperative diagnosis malrotation. Eleven had subtle rotational abnormalities (potential false-negative examinations), 12 false-positive upper gastrointestinal examinations.Subtle signs included unusual redundancy duodenum right spine location duodenojejunal junction (DJJ) medial left...
Fifty-seven cases of apple peel jejunal atresia have been reported in the English literature. Patients with this anomaly a high incidence prematurity (70%), malrotation (54%), short gut syndrome (74%), multiple atresias (15%), complications (63%), and mortality (54%). Mortality has decreased from 63% to 47% since 1970. We report three new atresia, including two one family. Radiographic evidence small bowel obstruction malrotated microcolon on preoperative roentgenogram barium enema should...
Ovarian torsion is uncommon and has a nonspecific clinical presentation. To determine the impact of imaging on management, authors reviewed their recent experience with 12 children who had total 13 episodes ovarian torsion. Three presented as neonates, six were premenarchal, three postmenarchal. Ultrasound was study choice. In all ultrasonography showed complex abdominopelvic cysts indicating need for surgery. five 10 in older patients, solid mass an appearance strongly suggestive Same-day...
To determine how frequently and under what circumstances the chest radiograph changes pre-x-ray diagnoses plans for management of suspected acute lower respiratory tract disease, experienced pediatricians performed a three-phased sequential evaluation (observation, history, physical examination), determined an initial diagnosis need after each phase, recorded pre- post-x-ray management. Of 102 children evaluated, resulted in change 21% 16%. In majority these cases, previously considered less...
We present a patient with pansynostosis, hydrocephalus, seizures, extreme proptosis luxation of the eyes out lids, apnea and airway obstruction, intestinal nonrotation, severe developmental delay. His skeletal abnormalities include bilateral elbow ankylosis, radial head dislocation, unilateral broad deviated first toe. The phenotype this is consistent that previously reported in Pfeiffer syndrome type III, but unusual for lack thumbs. Our most closely resembles case described by Kerr et al....
Skeletal anomalies in patients with a 22q11.2 deletion are reported infrequently. We report the skeletal findings 108 deletion, of whom 37 (36%) had anomaly. Twenty-two (20%) limbs, 7 upper limb, including preaxial or postaxial polydactyly. An anomaly lower limb was found 16 patients, polydactyly, clubfoot, severely overfolded toes, and 2-3 toe cutaneous syndactyly. Chest films 63 were examined; 30% them abnormal findings, most commonly supernumerary ribs (17%) "butterfly" vertebral body...
Hemangioendotheliomas and arteriovenous malformations (AVMs) of the liver often cause congestive heart failure in babies, but embolization hepatic artery is not always effective. Six newborns infants (four with hemangioendotheliomas two AVMs) underwent abdominal aortography, hepatomesenteric arteriography, angiography arterial portal collateral vessels prior to for (n = 5) hypertension 1). In addition, extrahepatic arteries were embolized one patient a vein branch another. Extrahepatic...