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Tag Imaging

Question: Neuro

(Click the link to comment and to vote – voting not working through email, sorry!) Which of the following physical exam findings on a newborn’s sacrum does NOT mandate an MRI to rule out occult closed spinal dysraphism?

Question: Neuro

(Click the link to comment and to vote – voting not working through email, sorry!) You are seeing a 12 year old child that presents with altered mental status, fever, and history of headache and vomiting before the decline in… Continue Reading →

Question: Neuro

(Click the link to comment and to vote – voting not working through email, sorry!) You are seeing an 8 year old boy brought in by ambulance for a first time unprovoked afebrile seizure. The seizure was generalized tonic-clonic and… Continue Reading →

Question: Trauma

(Click the link to comment and to vote – voting not working through email, sorry!) You are seeing a 14 year old boy involved in a helmet vs helmet football injury. Which of the following is true regarding his evaluation… Continue Reading →

CT 1st afebrile seizure?

(Click the link to comment and to vote – voting not working through email, sorry!) Note: controversies are not meant to have a “right” answer – they are to see how most people are practicing. Would love your comments also… Continue Reading →

Question: nephrolithiasis

(Click the link to comment and to vote – voting not working through email, sorry!) You are seeing a 15yo girl with a strong family history of nephrolithiasis who presents with colicky right flank pain, non-bloody non-bilious vomiting twice, and… Continue Reading →

Question: Trauma

(Click the link to comment and to vote – voting not working through email, sorry!) You are seeing a 3 year old who sustained a 2cm laceration to the neck from a jagged edge on a piece of metal play… Continue Reading →

Question: Neuro

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Question: Stroke

(Click the link to comment and to vote – voting not working through email, sorry! You are seeing a 3 year old child with unrepaired Tetralogy of Fallot who presented with a generalized tonic-clonic seizure, and residual hemiparesis and speech… Continue Reading →

Question: Surgical

(Click the link to comment and to vote – voting not working through email, sorry!) You are seeing a 4 week old infant with non-bilious forceful vomiting x 3 days.

Radiology – normal by age

bonepit.com is a great website for learning radiology. Specifically go to their Normal for age page to see normal skeletal radiographs by age and gender!

Question: Musculoskeletal

(Click the link to comment and to vote – voting not working through email, sorry!) An 11yo girl presents with 2 weeks of right knee pain and limp after falling off a bicycle. She has had no fever, rash, other… Continue Reading →

Traumatic arthrotomy

(Click the link to comment and to vote – voting not working through email, sorry!) Note: conundrums are not meant to have a “right” answer – they are to see how most people are practicing. Would love your comments also… Continue Reading →

Question: Trauma

(Click the link to comment and to vote – voting not working through email, sorry!) You are caring for a 9 year old boy involved in a motor vehicle accident. He has a seatbelt sign on his left neck and… Continue Reading →

Question: CXR

(Click the link to comment and to vote – voting not working through email, sorry!) A 17yo girl presents with LUQ abdominal pain and vomiting x 2 days, and SOB x 1 day. Past medical history includes mild intermittent asthma,… Continue Reading →

Question: Abd Pain

(Click the link to comment and to vote – voting not working through email, sorry!) You are seeing a 10 year old boy with abdominal pain. He was seen last night with a few hours of periumbilical abdominal pain. Work-up… Continue Reading →

Penetrating Palate Injury

(Click the link to comment and to vote – voting not working through email, sorry!) Note: conundrums are not meant to have a “right” answer – they are to see how most people are practicing. Would love your comments also… Continue Reading →

Question: Respiratory

(Click the link to comment and to vote – voting not working through email, sorry!) Which of the following is/are true of bacterial tracheitis? Children presenting with bacterial tracheitis tend to be older than children presenting with viral croup Children… Continue Reading →

Question: Neuro

(Click the link to comment and to vote – voting not working through email, sorry!) You are seeing a 15 month old who became angry about a toy being taken away, cried, turned blue in the face, passed out, and… Continue Reading →

Question: Gallbladder

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CT for headache

(Click the link to comment and to vote – voting not working through email, sorry!) Note: conundrums are not meant to have a “right” answer – they are to see how most people are practicing. Would love your comments also… Continue Reading →

Question: Elbow Trauma

(Click the link to comment and to vote – voting not working through email, sorry!) Which of the following elbow radiography findings can be normal in a 2 year old that fell on an outstretched arm and has decreased use… Continue Reading →

Question: Ortho

(Click the link to comment and to vote – voting not working through email, sorry!) A 16 year old football player is brought in with severe right knee pain after being hit from the front. He states that he thought… Continue Reading →

Question: Abd & hip pain

(Click the link to comment and to vote – voting not working through email, sorry!) 14yo boy presents with LLQ abdominal pain and left hip pain for 5 days. He has not had any fever. He is an active baseball… Continue Reading →

Question: Trauma

(Click the link to comment and to vote – voting not working through email, sorry!) An 11 year old girl was sitting with lap belt only in the back seat of a minivan involved in a motor vehicle accident where… Continue Reading →

Hip pain in kids

(Click the link to comment and to vote – voting not working through email, sorry!) Note: conundrums are not meant to have a “right” answer – they are to see how most people are practicing. Would love your comments also… Continue Reading →

Question: VP shunt

(Click the link to comment and to vote – voting not working through email, sorry!) A 4 year old with ventriculoperitoneal shunt revision 1 month ago, presents with headache and vomiting and increased sleepiness according to mom. The patient is… Continue Reading →

Question: Cervical Spine

Which of the following cervical spine findings would you expect to be less common in a young child as compared to an adolescent or adult? (Click the link to comment and to vote – voting not working through email, sorry!)… Continue Reading →

Question: Trauma

A 3 year old comes in after falling 3 feet from the top of a kiddie slide onto cement, hitting his head. His only +PECARN symptom is 2 episodes of vomiting in the 2 hours since the fall. The medical… Continue Reading →

Constipation in the ED

You are seeing a 5 year old with intermittent LLQ abdominal pain for a month. She is well appearing and has a benign abdominal exam. She is eating normally, not vomiting, and has no fever or diarrhea. The parents deny… Continue Reading →

Clinical pneumonia

You are seeing a 6 year old with a wet-sounding cough for 4 days and fever to 39 C for 3 days. You hear crackles in the right lower lobe; there is no wheezing. CXR shows no infiltrates. Do you… Continue Reading →

Rule out airway foreign body

Nearly 3 year old girl was eating nuts and had a coughing episode. 6 year old sibling told parents “she’s choking on the nuts.” In the ED, patient is completely asymptomatic, has a normal CXR and a 100% O2 sat… Continue Reading →

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