Pediatric Imaging for the Emergency Provider

More than an achy back: Spinal epidural abscess

Case presentation A 4-year-old female presents with 1 week of left-sided abdominal and hip pain. She was evaluated at an outside facility 5 days ago, had plain abdominal radiography, and was diagnosed with constipation. She then returned 2 days later…

I feel it in my bones: Osteomyelitis

Case presentation A 13-year-old male is referred to the Emergency Department by his primary care provider. The patient has had left hip pain for the past week, which has progressively interfered with his daily activities, such as sports, and now…

Who’s Brodie? Brodie abscess

Case presentation A 14-month-old previously healthy male presents with limping for the past 5 days. Prior to this symptom, he had cough, congestion, and subjective fever, which his primary care provider had diagnosed as a viral upper respiratory infection. He…

‘Lil stuffy noses: Sinusitis

Case presentation A 15-year-old male presents to the Emergency Department with a complaint of “severe headaches” for the past week. He states he has had cough, which is worse at night, and congestion for the past 2 weeks. He has…

Achy muscles: Pyomyositis/myositis

Case presentation A previously healthy 14-year-old male presents with left lower quadrant pain, difficulty bearing weight, and fever. He awoke 6 days ago with sharp left lower quadrant pain. At that time, he was seen at an Emergency Department where…

My achin’ back! Spondylolysis/spondylolisthesis

Case presentation A 15-year-female presents with low back pain for 2 months. She had no trauma preceding the pain but is very active and plays soccer. The pain increases with activity. She has tried ibuprofen multiple times, with some relief.…

My achin’ feet: Talus fracture

Case presentation A 14-year-old male is brought to the Emergency Department after being involved in a motor vehicle crash. The patient was a restrained front seat passenger in a vehicle that was struck by another car while stopped at a…

Tough day: Triplane fracture

Case presentation A 12-year-old male presents to the emergency department with left ankle pain. Two hours ago, he was jumping on a trampoline when he “landed wrong, twisting” the ankle. He cannot remember in which direction the ankle twisted but…

Weak in the knees: Patellar dislocation

Case presentation A 14-year-old female is brought to the Emergency Department following a basketball game. She pivoted to take a shot and felt a tearing sensation, followed by a pop, then fell to the ground. She presents with an obvious…