Pediatric Imaging for the Emergency Provider

Cruisin’ for a bruisin’: Pulmonary contusion

Case presentation A 13-year-old is brought to the Emergency Department after being struck by a large truck while attempting to cross a highway on his bicycle. There is no reported loss of consciousness. His vital signs show an afebrile patient…

Heads up!: Head trauma

Case presentation A 7-month-old child presents to the Emergency Department after rolling off a couch. The child’s mother, who is visibly distraught and is worried that “her child’s brain is ruined,” reports that the child fell off the couch and…

Can’t pee: Pediatric bladder trauma

Case presentation An 8-year-old female is brought into the Emergency Department by private vehicle after being run over by a car. The child was in her driveway when her father, who was backing the family van out of the garage,…

Where’s the air? Pneumothorax

Case presentation A 16-year-old male presents with left-sided chest pain for the past week. He states that the pain began during band practice. He plays the trombone and states that he “must have pulled a chest muscle” because he was…

Buckle up: Abdominal trauma

Case presentation A 4-year-old male arrives via air ambulance after being involved in an all-terrain vehicle (ATV) accident. The child was riding with his older sister (he was in the front, riding on his sister’s lap) when the ATV turned…

Of course you have asthma: Persistent wheezing

Case presentation An 8-year-old boy presents with 3 days of cough, fever, and headache. He had been seen the previous day by his primary care physician and he was told to come to the Emergency Department after a chest x-ray…

Will the cough ever stop? Atypical pneumonia

Case presentation A 12-year-old male with a history of autism presents with cough for the past 3 weeks. There was initially fever to 102 degrees Fahrenheit, but this lasted for 2–3 days, then resolved. He was seen by his primary…

Is that pneumonia? Atelectasis

Case presentation A 22-month-old female presents with cough and congestion for the past 5 days. She was noted to have persistent fever to 102 degrees Fahrenheit. She has been taking oral fluids well, but this has decreased over the past…

Somethin’ growin’: Pediatric arachnoid cysts

Case presentation A 16-year-old female presents with a history of severe headaches, nausea, and vomiting for the past 3 weeks. She was seen at an urgent care facility where she was diagnosed with sinusitis and was given prescriptions for odansetron,…