Failure to thrive x ray: Difference between revisions
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{{CMG}}; {{AE}}{{Akash}} | {{CMG}}; {{AE}}{{Akash}} | ||
==Overview== | ==Overview== | ||
X-rays are useful in diagnosing organic causes of failure to thrive. | |||
==X Ray== | |||
*X-rays are useful in diagnosing organic causes of failure to thrive. | |||
*Listing down each organic cause is beyond the scope of this microchapter. | |||
*Some examples are : | |||
*'''Rickets''' | |||
*#Diffuse osteopenia in the diaphyses of the long bones. | |||
*#Widening and lengthening of the growth plates in the distal femur and proximal tibia. | |||
*#Irregular and indistinct ("fraying") metaphyseal margins of the distal femur and proximal tibia. | |||
*#Bowing of the femur and tibia. | |||
[[Image:Xray rickets.jpg|thumb|center|500px|https://medpix.nlm.nih.gov/case?id=28c96ce4-65cc-4616-9155-84ed79ab00c6]] | |||
*'''Atrial Septum defect''' | |||
*#Chest x-ray of a child with an ostium secundum atrial septal defect showing right atrial enlargement, right ventricular enlargement and increased pulmonary vascular markings. | |||
= | [[Image:Xray Atrial Septum defect.jpg|thumb|center|500px|https://medpix.nlm.nih.gov/case?id=13c87de4-bb71-4420-895e-f2ed73a6141a]] | ||
*'''Pneumatosis Intisinalis''' | |||
*#X-ray showing areas of pneumatosis in the stomach wall and dilated loops of bowel in the right lower quadrant. This should prompt a differential of necrotizing enterocolitis, gastric outlet obstruction, duodenal atresia, malrotation with volvulus or emphysematous gastroenteritis. | |||
[[Image:Xray Abdomen AP Pneumatosis.jpg|thumb|center|500px|https://medpix.nlm.nih.gov/topic?id=586767cd-843e-42f1-89c3-e136478a4937]] | |||
*'''Idiopathic pulmonary fibrosis''' | |||
*#Posterior-anterior x-ray film of a 6 year old child showing diffuse interstitial infiltrates secondary to idiopathic pulmonary fibrosis. | |||
[[Image:6 yo IPF.jpg|thumb|center|500px|https://medpix.nlm.nih.gov/case?id=4614d572-c521-4ddb-b40a-6521c015c1fe]] | |||
*'''Non Accidental Trauma''' | |||
*#An antero-posterior radiograph of the abdomen shows two pins in the duodenum and distal jejunum. | |||
*#An antero-posterior radiograph of the parapharyngeal and pharyngeal region shows multiple smaller pins. | |||
*#Such a radiograph should arouse suspicion for non-accidental trauma. | |||
[[Image:Pins Non Accidental trauma.JPG|thumb|center|500px|https://openi.nlm.nih.gov/detailedresult?img=PMC4366839_IJCIIS-5-65-g001&query=non%20accidental%20trauma&it=xg&req=4&npos=3]] | |||
*Left femur, multiple metaphyseal lucencies show the characteristic "corner fracture"--thicker peripheral rim more readily visible and appearing as a triangular fragment, characteristic for non accidental trauma. | |||
[[Image:Fracture Non Accidental trauma.jpg|thumb|center|500px|https://medpix.nlm.nih.gov/case?id=c63de77d-4774-4caa-97fc-5adb2b88f864]] | |||
==References== | ==References== | ||
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{{WS}} | {{WS}} | ||
[[Category:Medicine]] | [[Category:Medicine]] | ||
[[Category:Up-To-Date]] | [[Category:Up-To-Date]] | ||
[[Category:Disease]] | [[Category:Disease]] | ||
[[Category:Pediatrics]] | [[Category:Pediatrics]] | ||
[[Category:Neonatology]] | [[Category:Neonatology]] | ||
Latest revision as of 22:21, 13 September 2020
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Failure to thrive Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Failure to thrive x ray On the Web |
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American Roentgen Ray Society Images of Failure to thrive x ray |
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Risk calculators and risk factors for Failure to thrive x ray |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Akash Daswaney, M.B.B.S[2]
Overview
X-rays are useful in diagnosing organic causes of failure to thrive.
X Ray
- X-rays are useful in diagnosing organic causes of failure to thrive.
- Listing down each organic cause is beyond the scope of this microchapter.
- Some examples are :
- Rickets
- Diffuse osteopenia in the diaphyses of the long bones.
- Widening and lengthening of the growth plates in the distal femur and proximal tibia.
- Irregular and indistinct ("fraying") metaphyseal margins of the distal femur and proximal tibia.
- Bowing of the femur and tibia.
- Atrial Septum defect
- Chest x-ray of a child with an ostium secundum atrial septal defect showing right atrial enlargement, right ventricular enlargement and increased pulmonary vascular markings.
- Pneumatosis Intisinalis
- X-ray showing areas of pneumatosis in the stomach wall and dilated loops of bowel in the right lower quadrant. This should prompt a differential of necrotizing enterocolitis, gastric outlet obstruction, duodenal atresia, malrotation with volvulus or emphysematous gastroenteritis.
- Idiopathic pulmonary fibrosis
- Posterior-anterior x-ray film of a 6 year old child showing diffuse interstitial infiltrates secondary to idiopathic pulmonary fibrosis.
- Non Accidental Trauma
- An antero-posterior radiograph of the abdomen shows two pins in the duodenum and distal jejunum.
- An antero-posterior radiograph of the parapharyngeal and pharyngeal region shows multiple smaller pins.
- Such a radiograph should arouse suspicion for non-accidental trauma.
- Left femur, multiple metaphyseal lucencies show the characteristic "corner fracture"--thicker peripheral rim more readily visible and appearing as a triangular fragment, characteristic for non accidental trauma.
