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Pediatric Ultrasound

  • Lindsay TaylorEmail author
  • Angela Bray Creditt

Abstract

This chapter is focused on pediatric point-of-care ultrasound evaluation. Focused ultrasound is being used more frequently in pediatric emergency departments to diagnose conditions without the use of harmful radiation and to expedite care. This chapter will review the indications, image acquisition, and interpretation of patients who present with symptoms concerning for appendicitis, pyloric stenosis, intussusception, and testicular torsion.

Keywords

Appendicitis Pyloric stenosis Testicular torsion Intussusception 

Supplementary material

Video 17.1

Appendicitis in short axis. When the appendix is inflamed, it can resemble a target with hypoechoic and hyperechoic concentric rings (MP4 2092 kb)

Video 17.2

Appendicitis in long axis. A blind-ended tubular structure that is noncompressible, with no peristalsis and an outer diameter of greater than 5.7 mm in pediatrics (MP4 1945 kb)

Video 17.3

Appendicolith. Hyperechoic foci within the lumen of the appendix that causes posterior shadowing (MP4 2059 kb)

Video 17.4

Appendicitis with periappendiceal fluid. Inflammatory fluid surrounds the appendix (MP4 2159 kb)

Video 17.5

Normal testicle. B-mode image of a normal testicle which has a homogenous echotexture (MP4 2227 kb)

Video 17.6

Normal testicle color Doppler. Color Doppler image of a normal testicle with normal flow (MP4 272 kb)

Video 17.7

Testicular torsion. The testicle is enlarged and hypoechoic with less homogeneity concerning for testicular torsion (MP4 2238 kb)

Video 17.8

Torsion with color Doppler. Note the loss of normal testicular architecture and almost no flow using color Doppler in this patient with testicular torsion (MP4 424 kb)

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Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Department of Emergency MedicineVirginia Commonwealth University Medical CenterRichmondUSA

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