Evaluation of Chest Radiograph in Children with Heart Disease, by George Taylor for OPENPediatrics
In this video, Dr. George Taylor outlines the approach to evaluating chest radiographs in children with known or suspected heart disease. Dr. Taylor discusses evaluation of the heart, pulmonary vasculature, airway, and situs of the chest and abdomen.
Please visit: openpediatrics.org
OPENPediatrics™ is an interactive digital learning platform for physicians and nurses sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between physicians and nurses around the world caring for critically ill children in all resource settings. The content includes internationally recognized physician and nursing experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open access-and thus at no expense to the user.
For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu
Please note: OPENPediatrics does not support nor control any related videos in the sidebar, these are placed by Youtube. We apologize for any inconvenience this may cause.
My name is George Taylor from the Department of Radiology at Boston Children's Hospital. And in this session we're going to be talking about how to evaluate the chest radiograph in children with known or suspected heart disease. We will be following a systematic approach to the evaluation of the chest x-ray focusing on the heart, the pulmonary vasculature, airway, the situs of the abdomen and chest, and bony abnormalities.
Heart.
In terms of the heart, we need to look at the size of the heart and, whenever possible, the presence of specific chamber enlargement. The factors that generally increase heart size are increased volume within the heart, obstruction to that specific chamber, pump failure, pericardial diseases, and associated heart or mediastinal masses. Here, our first child we have an eight-month-old who presents with cyanosis and a murmur.
And we see that there is diffuse cardiomegaly, but specific enlargement of the right atrium. The atrium is bulging laterally, and on the lateral view, we can see that the right atrium also extends behind the trachea. This is a congenital abnormality of the tricuspid valve with enlargement of the right atrium, atrialization of the right ventricle, and often associated with decreased pulmonary vascularity.
Here is another child with a large heart. A 14-year-old who presents with fever, arthralgias, and shortness of breath who has rheumatic fever. In this child with mitral valve disease, we can see enlargement of the right atrium, with enlargement of the right atrial appendage as well, and displacement of the posterior heart border behind the trachea, which is a good sign of left atrial enlargement.
This six-month-old with respiratory distress has diffuse cardiomegaly and under inflated chest as a result of a dilated cardiomyopathy. In this situation, looking at specific chamber enlargement in an infant can be very, very difficult. This eight-year-old presenting with shortness of breath has a globular looking heart.
It's enlarged, but the contours are slightly different in that they more resemble a bag full of water, rather than specific chamber enlargement. So when we see a child with a large heart, we need to consider the possibility that either the heart is enlarged, or there is fluid surrounding the heart, so that the shadow of the hard looks much bigger than it normally is.
Here the same child is shown after a drainage catheter has been put in the pericardium, and you can see a marked difference in the size of the heart.
Abdominal Radiographic Diagnosis in the Newborn by George Taylor for OPENPediatrics
Please visit: openpediatrics.org
OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open access-and thus at no expense to the user.
For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu
Please note: OPENPediatrics does not support nor control any related videos in the sidebar, these are placed by Youtube. We apologize for any inconvenience this may cause.
Introduction to Pediatric Chest Radiography, by George Taylor for OPENPediatrics
In this video, Dr. George Taylor outlines the approach to interpreting pediatric chest x-rays. The features that Dr. Taylor examines include the lung parenchyma and vasculature, airway and mediastinum, heart, and bony abnormalities.
Please visit: openpediatrics.org
OPENPediatrics™ is an interactive digital learning platform for physicians and nurses sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between physicians and nurses around the world caring for critically ill children in all resource settings. The content includes internationally recognized physician and nursing experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open access-and thus at no expense to the user.
For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu
Please note: OPENPediatrics does not support nor control any related videos in the sidebar, these are placed by Youtube. We apologize for any inconvenience this may cause.
Imaging of Pediatric Thoracic Trauma by George Taylor for OPENPediatrics
Please visit: openpediatrics.org
OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open access-and thus at no expense to the user.
For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu
Please note: OPENPediatrics does not support nor control any related videos in the sidebar, these are placed by Youtube. We apologize for any inconvenience this may cause.
Alternative Scanning Approaches in Neurosonography by George Taylor for OPENPediatrics
Please visit: openpediatrics.org
OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open access-and thus at no expense to the user.
For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu
Please note: OPENPediatrics does not support nor control any related videos in the sidebar, these are placed by Youtube. We apologize for any inconvenience this may cause.
GU Trauma in Children Part 1 Renal Injury by George Taylor for OPENPediatrics
Please visit: openpediatrics.org
OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open access-and thus at no expense to the user.
For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu
Please note: OPENPediatrics does not support nor control any related videos in the sidebar, these are placed by Youtube. We apologize for any inconvenience this may cause.
Bowel and Mesenteric Injury High Risk Mechanisms and CT Findings by George Taylor for OPENPediatr
Please visit: openpediatrics.org
OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open access-and thus at no expense to the user.
For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu
Please note: OPENPediatrics does not support nor control any related videos in the sidebar, these are placed by Youtube. We apologize for any inconvenience this may cause.
Echogenic Lesions in Cranial Sonography by George Taylor for OPENPediatrics
In this video, Dr. Taylor discusses echogenic lesions in cranial sonography to expand the differential diagnosis of the hemorrhage.
Please visit: openpediatrics.org
OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open access-and thus at no expense to the user.
For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu
Please note: OPENPediatrics does not support nor control any related videos in the sidebar, these are placed by Youtube. We apologize for any inconvenience this may cause.