Skeletal survey for NAI

In November 2018 the revised edition of “The radiological investigation of suspected physical abuse in children” was released in the UK. This was written by the Royal College of Radiologists and the Society and College of Radiographers, and endorsed by the Royal College of Paediatrics and Child Health. It produced guidance on the process of…

Thoracolumbar injuries

A 13 year old boy presents to ED after jumping out of a window trying to sneak out his bedroom at night time. He is complaining of pain in his lower back. How do we identify and treat a potential thoracolumbar spine injury? Cite this article as: Davis, T. Thoracolumbar injuries, Don't Forget the Bubbles,…

Paediatric c-spine injuries

A 14 year old male presents to your Emergency Department by private car with neck pain following a failed back-flip whilst playing on the family trampoline at home. Cite this article as: Partyka, C. Paediatric c-spine injuries, Don't Forget the Bubbles, 2017. Available at: http://doi.org/10.31440/DFTB.13658

C-spine x-ray interpretation

The ABC’s of the cervical spine provide a helpful mnemonic to guide the systematic assessment of these x-rays. Remember; you require all three views (lateral, AP and odontoid/open mouth view) for an adequate study. Cite this article as: Partyka, C. C-spine x-ray interpretation, Don't Forget the Bubbles, 2017. Available at: http://doi.org/10.31440/DFTB.13656

Mandible x-rays

An orthopantomogram (OPG) is a good view to demonstrate most mandibular fractures.   A PA mandible shows the displacement of fractures. It also demonstrates symphysis menti fractures which can be missed on the OPG. If an OPG cannot be obtained, a lateral view can be helpful. The body and ramus can be viewed along with…

Can you see what I see?

When it comes to imaging children we are all about the ALARA (as low as reasonably achievable) approach. One of the best ways to do this is not to use radiation at all. Unfortunately not all of us can be Casey Parker, and so we might need some help with our ultrasound skills. Cite this…

Ankle x-rays

The ankle consists of three bones – the tibia, the fibula, and the talus. The ankle also consist of two joints – the ankle joint (where the tibia, fibula and talus meet) and the syndesmosis joint (the joint between the tibia and fibula which is help together by ligaments). There are three main sets of…

Through the looking glass

As we head out winter in the southern hemisphere the northern hemisphere can see that ‘Winter is Coming’ and with it the scourge of the paediatric emergency departments – bronchiolitis.  It’s one of those diseases that the we should all be able to spot but the real challenge is picking up those that present as…

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