BIG- M

BIG-M Barium enema for Dx/Rx of Intususseption Gastrograffin enema for Dx/Rx of Meconium ileus.

Neonatal distress

1. THE MISFITS
   1. Tumor, Thermal, Trauma (non-accidental Trauma)
   2. Heart disease, hypovolemia, or Hypoxia
   3. Endocrine
      1. Hyperthyroidism
      2. Congenital Adrenal Hyperplasia
   4. Metabolic disease
      1. Electrolyte disturbances
   5. Inborn Errors of Metabolism
   6. Sepsis
   7. Formula or Feeding abnormalities (Too concentrated or dilute)
   8. Intestinal Emergencies
      1. Volvulus
      2. Intussusception
      3. Necrotizing Enterocolitis
      4. Incarcerated Hernia
      5. Diaphragmatic Hernia
   9. Toxins
   10. Seizures

Hemorrhagic metastases

Hemorrhagic metastases

MR CT BB
Melanoma
Renal cell carcinoma
Choriocarcinoma
Thyroid carcinoma, Teratoma
Bronchogenic carcinoma
Breast carcinoma

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Cerebral ring enhancing lesions

Cerebral ring enhancing lesions

MAGIC DR
Metastases
Abscess
Glioma
Infarction (resolving)
Contusion/hematoma (resolving)
Demyelinating disease
Radiation necrosis

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Necrotising enterocolitis

HAT

Triad of laboratory results in necrotizing enterocolitis:

Hyponatremia
Acidosis (metabolic)
Thrombocytopenia

Posterior fossa tumours in children

BEAM
Brainstem glioma
Ependymoma
Astrocytoma (pilocytic) - 85%
Medulloblastoma

Cerebellopontine angle masses

Cerebellopontine angle masses

SAME
Schwannoma (Acoustic >> Trigeminal)
Aneurysm, Arachnoid cyst
Meningioma, Metastasis
Epidermoid cyst, Ependymoma

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Salter Harris Classification

SALTR
Slipped (Type I)
Above (Type II) - 75% Meta
Lower (Type III) Epi
Through (Type IV) Both
Rammed (Type V) Crush

Elbow ossification

Elbow ossification centers, in sequence CRITOE:
Capitellum
Radial head
Internal epicondyle
Trochlea
Olecranon
External epicondyle
· In order: appear at 1, 3, 5, 7, 9, 11
years; each closes 2 years later.

Difficult airway

Difficult intubation = LEMON

• Look externally
• Evaluate 3-3-2 rule
• Mallampati score
• Obstruction
• Neck Mobility

Difficult BVM = BONES

• Beard
• Obese
• No teeth
• Elderly
• Sleep Apnea / Snoring

Difficult LMA = RODS

• Restricted mouth opening
• Obstruction
• Distorted airway
• Stiff lungs or c-spine

Difficult surgical airway = SHORT

• Surgery
• Hematoma
• Obesity
• Radiation distortion or other deformity
• Tumor