That looks painful: Hydrocele
Case presentation A 4-month-old male presents with bilateral scrotal swelling. Per the mother, this has been present since 1 month of age but has worsened over the past week and…
A bit of a mix-up: Right-sided aortic arch
Case presentation A 7-week-old male presents with difficulty breathing while feeding for 1 day. The child is formula fed 3 ounces every 3–4 hours, but over the past 2–3 days,…
Cyanotic and acyanotic congenital heart disease
Case presentation A 12-hour-old infant presents “looking blue” and with poor feeding per the mother. The child was delivered at home and the mother had no prenatal care. She describes…
Right out of ‘the exorcist’: Pyloric stenosis
Case presentation A 3-week-old male presents with nonbilious, nonbloody emesis for the past 1.5 weeks. Initially there were two to three episodes per day, occasionally with feeding, but this has…
Rumbly in the tumbly: Pneumatosis intestinalis and necrotizing enterocolitis
Case presentation A 10-day-old infant presents to the emergency department with 1 day of fussiness, decreased oral intake, decreased urine output, and three grossly bloody stools. There has been no…
More than constipation: Failure to pass meconium
Case presentation A 2-day-old patient is referred to the emergency department for failure to pass meconium. He was born at home and had prenatal care, although this was not consistent,…
A wheezin’ we will go: Bronchiolitis/viral pathology
Case presentation A 6-month-old baby with cough, congestion, and fever for 3 days presents to the emergency department with complaints of respiratory distress. Physical examination is significant for a temperature…
Twisting the night away: Malrotation
Case presentation A 5-day-old male infant presents with decreased feeding and activity for the past 24 hours. The parents report emesis that initially looked like infant formula but over the…
Sedation/anxiolysis for pediatric imaging
Most pediatric imaging procedures do not require sedation. There are patients, though, who will require some level of sedation in order to obtain a meaningful imaging study. The reasons for…
ALARA principles
Exposure to ionizing radiation Exposure to ionizing radiation is a natural consequence of living on Earth. We are exposed to ionizing radiation from the Earth beneath our feet, from the…
