Whilst the internet is wonderful if you want to look up some obscure aspect of medicine there are some things you just have to know. I gave this talk to our local group of registrars and in the spirit of FOAM I have recorded it for wider distribution.
You are called to the post-natal wards to review an infant of a diabetic mother. He is Day 1 and has a BSL of 2.4. Do you give an IV bolus? Do you feed? What about dextrose gel? We summarise The Sugar Babies Study looking at the use of dextrose gel in this situation.
This is a 15-year old male with a history of severe chronic lung disease and bronchopulmonary dysplasia since birth. He was premature, and since then has required multiple hospitalizations for acute exacerbations of his chronic lung disease.
The target sign consists of two approximately concentric circles of fat density to the right of the spine, due to layers of peritoneal fat surrounding and within the intussusceptum alternating with layers of mucosa and muscle. This sign resembles a very faint target, or bull’s eye, or doughnut appearance. This radiograph shows a classic target…