Ped Note Radiology
Ped Note Radiology
Ped Note Radiology
LineTube
- ETT: tip at 1/2 thoracic inlet: carina
- Enteric
- UAC: Hi T6-9, Lo L3-5
Left side spine
- UVC: RA-IVC junct.(just above diaph)
Right side spine
Lung pathology
common
RDS
MAS
Pmn
TTNB
BPD
ALS
,,,,,,,,
RDS = HMD
Premature
Surfactant <= type 2 pneumocyte
no until 34-36 wk
decrease surface tension
increase risk: Premature, LBW, M, C/S, perinatal asph, chorioamnionitis, hydrop, GDM
decrease risk: chronic intrauterine stress, PROM, HT,narcotic cocaine, IUGR/SGA,steroid,
thyroid, tocolytic
0nset 0-7 h
Worse 72 h then improve
Rad
Low vol
Bilat uniform GG
peripheral air bronchogram
Diffuse lung opacity
*** if Rx
CPAP/MV: normal lung vol
Surfactant: less homo/symmetric
C/P
pneumothorax, pmds
BPD
Prevent
antenatal steroid
surfactant
asses lung maturity
tocolytic
close monitor
Rx
Surfactant
Support RS: MV,CPAP
ATB until r/o sepsis
NPO
.
MAS
RD Meconium below vocal cord
Fetal distress & vagal stimulate in utero
Aspirate
Airway obstruct(ball valve): total/ partial
Chemical pneumonitis: edema narrow surfact
inc PVR lead R to L shunt
Risk: posterm, PIH,DM,IUGR,oligo,breech