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**Admin** · 09-14-2024, 09:13 AM

Cbclips 1

https://pediatricsurgery.club/forums/forum/pediatric-surgery-discussions-ac/appendicitis/7091-cbclips-1

A 4-year old boy presents with 6 days of abdominal pain and vomiting. On exam, he appears ill with a heart rate of 130 and temp of 39.3 C. His abdomen is distended and diffusely tender. Abdominal series shown (look carefully!). Diagnosis?

Cbclips 2

Cbclips #2 - Pediatric Surgery Club

https://pediatricsurgery.club/forums/forum/pediatric-surgery-discussions-ac/head-and-neck-lesions/7088-cbclips-2

A 14-year old girl underwent incision & drainage of a midline neck abscess 2 months prior by another surgeon. The site has not healed (shown), and intermittently drains small amounts of thick fluid. Exam shows no redness, tenderness or neck mass. What do you do next?

Cbclips 3

Cbclips # 3 - Pediatric Surgery Club

https://pediatricsurgery.club/forums/forum/pediatric-surgery-discussions-ac/esophageal-atresia-tof/7084-cbclips-3

Six days after repair of esophageal atresia with distal tracheo-esophageal fistula in a baby boy born at term, this esophagogram is obtained.What do you see, and what will you do next?

Cbclips 4

Cbclips # 4 - Pediatric Surgery Club

https://pediatricsurgery.club/forums/forum/pediatric-surgery-discussions-ac/pediatric-gynecology/7081-cbclips-4

A 14-year old girl had a right dysplastic kidney removed as an infant. She started menstruating at age 13 and now has progressive severe dysmenorrhea. US shows normal ovaries and a large midline cystic mass as shown.What is your suspicion and how will you confirm it?

Cbclips 5

Cbclips # 5 - Pediatric Surgery Club

https://pediatricsurgery.club/forums/forum/pediatric-surgery-discussions-ac/neonatal-intestinal-obstruction/7078-cbclips-5

The films below are of two term neonates with bilious emesis. Both babies are hemodynamically stable, have soft non-tender, non-distended abdomens, and normal blood gases. Which baby requires immediate further investigation and possible intervention? 1 or 2 ? Why?

Cbclips 6

CBCLIPS Episode 6 - Pediatric Surgery Club

https://pediatricsurgery.club/forums/forum/pediatric-surgery-discussions-ac/head-and-neck-lesions/7075-cbclips-episode-6

An 18-month old previously healthy girl presents with a 4-wk history of slowly growing left submandibular mass, followed by skin changes.She is afebrile and asymptomatic. No fluctuance or tenderness, but early signs of skin necrosis are seen. Dx & Treatment?

Cbclips 7

CBCLIPS Episode 7 - Pediatric Surgery Club

https://pediatricsurgery.club/forums/forum/pediatric-surgery-discussions-ac/spleen/7071-cbclips-episode-7

CBCLIPS Episode 7

Cbclips 8

cbclips Episode 8 - Pediatric Surgery Club

https://pediatricsurgery.club/forums/forum/pediatric-surgery-discussions-ac/chest-wall-and-thoracic-lesions/7068-cbclips-episode-8

In pediatric surgery clinic, you see a 2-year old girl referred for an asymptomatic left breast mass. No significant medical history. You palpate a firm, rubbery circular mass under the nipple. Remainder of physical exam is normal. What is your next step?

Cbclips 9

cbclips Episode 9 - Pediatric Surgery Club

https://pediatricsurgery.club/forums/forum/main-forum/lounge/anorectal-malformations/7066-cbclips-episode-9

A 6-year old boy with an anorectal malformation underwent colostomy, posterior sagittal anorectoplasty (PSARP), and colostomy closure in the first year of life. After his colostomy closure, he developed multiple urinary tract infections, resulting in significant renal damage and requiring renal transplantation. He continues to

Cbclips 10

CBCLIPS Episode 10 - Pediatric Surgery Club

https://pediatricsurgery.club/forums/forum/pediatric-surgery-discussions-ac/head-and-neck-lesions/7063-cbclips-episode-10

A 14-year old asymptomatic girl presents with a progressively growing right neck mass. Exam and US show a 2.5 cm right thyroid nodule without cervical lymphadenopathy or other findings. FNA shows follicular cells with Hurthle cell metaplasia. What next?

**Admin** · 09-14-2024, 09:15 AM

Cbclips 11

CBCLIPS Episode 11 - Pediatric Surgery Club

https://pediatricsurgery.club/forums/forum/pediatric-surgery-discussions-ac/hepatobiliary-diseases/7060-cbclips-episode-11

A 4-yr old, previously healthy girl, born at term, has 3 days of generalized abdominal pain. Exam shows normal vital signs and a mildly tender abdomen without peritoneal signs. Abdominal ultrasound (shown) demonstrates a normal appendix, and a very thickened gallbladder wall (7 mm), without stones. The biliary tree is normal.

Cbclips 12

CBCLIPS Episode 12 - Pediatric Surgery Club

https://pediatricsurgery.club/forums/forum/pediatric-surgery-discussions-ac/chest-wall-and-thoracic-lesions/7056-cbclips-episode-12

An ASYMPTOMATIC 6 month old girl with a prenatal diagnosis of a left congenital thoracic mass undergoes the CT scan below, showing a non-aerated supra-diaphragmatic lesion with a discrete feeding vessel, associated with a focal eventration. How do you proceed?

Cbclips 13
https://pediatricsurgery.club/forums...ips-episode-13

Cbclips 14

CBCLIPS Episode 14 - Pediatric Surgery Club

https://pediatricsurgery.club/forums/forum/pediatric-surgery-discussions-ac/neonatal-intestinal-obstruction/7050-cbclips-episode-14

A term baby girl presents on the 2nd day of life with abdominal distention and bilious emesis. No meconium has passed. On examination, the abdomen is distended, but soft and not-tender. There is no mass. A patent anus is found in a normal position. Digital exam encounters resistance above the anal canal. Insertion of a 6-mm

Cbclips 15

CBCLIPS Episode 15 - Pediatric Surgery Club

https://pediatricsurgery.club/forums/forum/pediatric-surgery-discussions-ac/congenital-diaphragmatic-hernia/7046-cbclips-episode-15

An 18-mo old boy with trisomy 21 presents with 3 days of cough,fever,and congestion.His temperature is 39 C. Rest of vital signs normal. He has diffuse lung rhonchi, and a normal abdomen.O2 saturation on room air 97%.Chest x-ray shown. How would you manage?

Cbclips 16

CBCLIPS Episode 16 - Pediatric Surgery Club

https://pediatricsurgery.club/forums/forum/pediatric-surgery-discussions-ac/neonatal-intestinal-obstruction/7042-cbclips-episode-16

During laparotomy for a 2-day old term male neonate with bowel obstruction and the radiographic images shown, you encounter a very dilated proximal jejunum with the entire distal bowel impacted with small meconium pellets (shown). How would you manage this? How often does a meconium obstruction extend to the proximal jejunum?!

Cbclips 17

CBCLIPS Episode 17 - Pediatric Surgery Club

https://pediatricsurgery.club/forums/forum/pediatric-surgery-discussions-ac/urology/7039-cbclips-episode-17

A 14-year old boy presents with 2 days of peri-umbilical pain. Exam shows an inflamed umbilicus and peri-umbilical cellulitis. US shows a sub-umbilical fluid collection and a tubular structure extending to the bladder. How will you treat him?

Cbclips 18

CBCLIPS Episode 18 - Pediatric Surgery Club

https://pediatricsurgery.club/forums/forum/pediatric-surgery-discussions-ac/head-and-neck-lesions/7036-cbclips-episode-18

A 2-week old asymptomatic baby girl presents with the posterior left neck mass shown and associated ultrasound. There is no anterior extension. The mass was present at birth and has not changed. A fetal US @ 20 weeks gestation was normal. How will you proceed?

Cbclips 19

CBCLIPS Episode 19 - Pediatric Surgery Club

https://pediatricsurgery.club/forums/forum/pediatric-surgery-discussions-ac/pediatric-gynecology/7033-cbclips-episode-19

A 14-year old girl presents with 2 days of worsening RLQ pain & vomiting. US shows normal appendix & enlarged right ovary, with possible torsion. Serum AFP, bHCG, CA-125 levels are normal. At laparoscopy, no torsion is found, but there is an enlarged ovary with no obvious mass. How do you proceed?

Cbclips 20
https://pediatricsurgery.club/forums...ips-episode-20

**Admin** · 09-14-2024, 09:16 AM

Cbclips 21

CBCLIPS Episode 21 - Pediatric Surgery Club

https://pediatricsurgery.club/forums/forum/pediatric-surgery-discussions-ac/neonatal-intestinal-obstruction/7027-cbclips-episode-21

A 3-day old baby boy born at 28 weeks gestation develops mild abdominal distention.He already passed several normal meconiums. He has no signs of necrotizing enterocolitis on physical examination or laboratory tests. His abdomen is slightly distended, but soft and non-tender. Abdominal films taken 24 hours apart show a single

Cbclips 22

CBCLIPS Episode 22 - Pediatric Surgery Club

https://pediatricsurgery.club/forums/forum/pediatric-surgery-discussions-ac/head-and-neck-lesions/7023-cbclips-episode-22

A previously healthy 4-yr old girl presents with a 5-day history of fever and worsening neck pain. Exam shows a left para-median, tender, erythematous, neck mass. Ultrasound is read as “thyroiditis” and a CT scan shows an inflammatory mass with abscess formation emanating from the left thyroid lobe. How would you manage this

Cbclips 23

CBCLIPS Episode 23 - Pediatric Surgery Club

https://pediatricsurgery.club/forums/forum/pediatric-surgery-discussions-ac/gastrointestinal-diseases/7019-cbclips-episode-23

The Emergency Department calls you to see a 16-yr old boy with cerebral palsy who suddenly developed a very large left hydrocele. He has a remote history of scoliosis surgery, as well as a Nissen fundoplication and gastrostomy tube placement. On exam, you find a large left hydrocele, and a distended tense abdomen. You obtain

Cbclips 24

CBCLIPS Episode 24 - Pediatric Surgery Club

https://pediatricsurgery.club/forums/forum/pediatric-surgery-discussions-ac/chest-wall-and-thoracic-lesions/7015-cbclips-episode-24

A 17-month old previously healthy girl has 6 days of cough and fever. She is mildly tachypneic, but has no increased respiratory effort, and her oxygen saturation is 99% on room air. Blood pressure and heart rate are normal. Breath sounds are decreased in the right upper lung zones, but the remainder of the physical examination

Cbclips 25

CBCLIPS Episode 25 - Pediatric Surgery Club

https://pediatricsurgery.club/forums/forum/pediatric-surgery-discussions-ac/trauma/7012-cbclips-episode-25

A 21-month old boy is brought to the Emergency Department by his mother because she cannot awaken him. She reports that he fell out of bed 1 hour prior to arrival, and may have drunk ant killer. His GCS is 12. He has a forehead bruise, and a normal oral exam. His abdomen is mildly distended but soft. What would you do next for

Cbclips 26

CBCLIPS Episode 26 - Pediatric Surgery Club

https://pediatricsurgery.club/forums/forum/pediatric-surgery-discussions-ac/neonatal-intestinal-obstruction/7008-cbclips-episode-26

A 1-day old baby girl, born at 35 weeks of gestation, presents with bilious emesis. The abdomen is soft and not distended. Plain abdominal films and a contrast enema are shown. At exploration, you find Type IIIA jejunal atresia with 15 cm of jejunum (3 cm in diameter) and 4 cm of ileum. What operation will you perform?

Cbclips 27

cbclips Episode 27 - Pediatric Surgery Club

https://pediatricsurgery.club/forums/forum/main-forum/lounge/anorectal-malformations/7005-cbclips-episode-27

A newborn baby boy presents with abdominal distension and failure to pass meconium. His abdomen is distended but soft. The anus is in normal position and the anal canal is patent, but funnel shaped. The rectum is not patent. He has no other obvious congenital anomalies. A prone lateral film is shown. How would you manage this

Cbclips 28

CBCLIPS Episode 28 - Pediatric Surgery Club

https://pediatricsurgery.club/forums/forum/pediatric-surgery-discussions-ac/chest-wall-and-thoracic-lesions/7002-cbclips-episode-28

A 2-year old girl is sent for a chest x-ray by her day care after suspicion of swallowing a small toy. The x-ray and subsequent CT scan are shown. She has poor appetite and her weight is at the 10th percentile. She has no other symptoms and her physical examination reveals no abnormalities. How would you manage this?

Cbclips 29

cbclips Episode 29 - Pediatric Surgery Club

https://pediatricsurgery.club/forums/forum/pediatric-surgery-discussions-ac/abdominal-wall-defects/6999-cbclips-episode-29

A term baby girl with prenatal diagnosis of gastroschisis is delivered by C-section at 37 weeks. No other anomalies. Appearance of the gastroschisis at birth is shown below. What is your management plan and how will you counsel the parents?

Cbclips 30

CBCLIPS Episode 30 - Pediatric Surgery Club

https://pediatricsurgery.club/forums/forum/pediatric-surgery-discussions-ac/neonatal-intestinal-obstruction/6996-cbclips-episode-30

A term baby girl presents with a neonatal bowel obstruction soon after birth. Dilated, echogenic bowel was seen on Ultrasound at 32 weeks gestation. Both parents are carriers of the cystic fibrosis gene. Her abdominal films and contrast enema are shown. During the contrast enema, the radiologist did not attempt to reflux the

**Admin** · 09-14-2024, 09:17 AM

Cbclips 31

CBCLIPS Episode 31 - Pediatric Surgery Club

https://pediatricsurgery.club/forums/forum/pediatric-surgery-discussions-ac/neonatal-intestinal-obstruction/6993-cbclips-episode-31

A 2-day old term baby boy weighing 3.2 kg,who already passed meconium, presents with bilious emesis. Pre-eclampsia occurred during the last week of pregnancy. The abdomen is distended but soft and non-tender. Plain film and contrast enema are shown. How would you manage this patient?

Cbclips 32

CBCLIPS Episode 32 - Pediatric Surgery Club

https://pediatricsurgery.club/forums/forum/pediatric-surgery-discussions-ac/hepatobiliary-diseases/6990-cbclips-episode-32

A previously healthy 4-year old girl had an episode of pancreatitis which resolved after 72 hours. Ultrasound showed some gallbladder sludge, a mildly dilated common bile duct at 6.7 mm, and mildly dilated hepatic ducts. The GI specialist believes she passed a stone. What would you do next?

Cbclips 33

cbclips Episode 33 - Pediatric Surgery Club

https://pediatricsurgery.club/forums/forum/pediatric-surgery-discussions-ac/chest-wall-and-thoracic-lesions/8678-cbclips-episode-33

A term baby boy was diagnosed prenatally with a large echogenic right lung lesion. He has no symptoms at birth, but manifests increased respiratory effort over the first 2 weeks of life with the CXR findings below. How would you manage him?

Cbclips 34

cbclips Episode 34 - Pediatric Surgery Club

https://pediatricsurgery.club/forums/forum/pediatric-surgery-discussions-ac/chest-wall-and-thoracic-lesions/8717-cbclips-episode-34

A baby girl is born at term by vaginal delivery after an uncomplicated pregnancy. Fetal ultrasounds at 20 and 34 weeks gestation were normal. She is transferred to you at a few hours of life with the chest wall defect seen below. She is entirely asymptomatic and her exam is otherwise normal. How would you manager her?

Cbclips 35

cbclips Episode 35 - Pediatric Surgery Club

https://pediatricsurgery.club/forums/forum/pediatric-surgery-discussions-ac/appendicitis/8849-cbclips-episode-35

a pediatrician consults you on a 10 year old boy hospitalized for 5 days for abdominal pain and fever. Exam shows a sick child with diffuse peritonitis. Abdominal films are shown. What is the most likely diagnosis and how would you manage him?

Cbclips 36

CBCLIPS Episode 36 - Pediatric Surgery Club

https://pediatricsurgery.club/forums/forum/pediatric-surgery-discussions-ac/rectal-prolapse/8899-cbclips-episode-36

A teenage girl has recurrent rectal prolapse. She had multiple sclerotherapies, rectopexy,and cerclage without success. The prolapse is orange-sized as illustrated, causes discomfort and bleeding, and sometimes requires manual reduction. Next step?

Cbclips 37

cbclips Episode 37 - Pediatric Surgery Club

https://pediatricsurgery.club/forums/forum/pediatric-surgery-discussions-ac/chest-wall-and-thoracic-lesions/8949-cbclips-episode-37

A 6-week old baby boy born at 28 weeks gestation has persistent chest x-ray abnormalities as shown. His respiratory status has improved since birth, allowing him to wean off CPAP to room air. Other than mild tachypnea, the exam is normal. The capillary blood gas is also normal. What next?

Cbclips 38

cbclips Episode 38 - Pediatric Surgery Club

https://pediatricsurgery.club/forums/forum/pediatric-surgery-discussions-ac/biliary-atresia/9073-cbclips-episode-38

A 56-day old boy underwent a successful Kasai procedure for biliary atresia with complete clearance of jaundice at 5 months of age. At 18 months of age, he starts to develop episodes of cholangitis that recur every few weeks. Each episode responds well to antibiotics, and bilirubin normalizes between episodes. US, MRCP, and

Cbclips 39

cbclips Episode 39 - Pediatric Surgery Club

https://pediatricsurgery.club/forums/forum/pediatric-surgery-discussions-ac/gastrointestinal-diseases/9161-cbclips-episode-39

A 4-yr old boy presents with sudden abdominal distention followed by increasing pain and fever over 48h. He is stable, but has a distended, tender abdomen. Normal CBC, CRP is 200. Film & US are shown. What is the likely diagnosis and what would you do?

Cbclips 40
https://pediatricsurgery.club/forums...ips-episode-40

**Admin** · 09-14-2024, 09:17 AM

Cbclips 41

CBCLIPS Episode 41 - Pediatric Surgery Club

https://pediatricsurgery.club/forums/forum/pediatric-surgery-discussions-ac/abdominal-wall-defects/9614-cbclips-episode-41

A newborn boy with a prenatal diagnosis of omphalocele presents with this large structure at the umbilicus. The baby is asymptomatic and the remainder of the exam is normal. How will you approach this anomaly?

Cbclips 42

CBCLIPS Episode 42 - Pediatric Surgery Club

https://pediatricsurgery.club/forums/forum/pediatric-surgery-discussions-ac/neonatal-intestinal-obstruction/9954-cbclips-episode-42

A female fetus is followed for a dilated, hyperperistaltic bowel loop persistent until birth. Films at 4 & 10 hours of life are shown. The baby has a normal exam, but she vomits bile after first feeding. Contrast enema and UGI performed simultaneously are read as normal. What would you do next?

Cbclips 43

cbclips Episode 43 - Pediatric Surgery Club

https://pediatricsurgery.club/forums/forum/pediatric-surgery-discussions-ac/gastrointestinal-diseases/11172-cbclips-episode-43

A 15-month old boy is in the ER after one episode of non-bilious emesis. His parents found a number of small magnets, from his sister’s toy, in his bed. His vitals and abdominal exam are normal. An abdominal film is shown. What would you do next?

Cbclips 44

cbclips Episode 44 - Pediatric Surgery Club

https://pediatricsurgery.club/forums/forum/pediatric-surgery-discussions-ac/general-discussions/11456-cbclips-episode-44

A 4-year old boy presents to emergency with a 24-hour history of a right groin mass. The mass is not painful. It is firm, not tender, and not reducible. The testicular and scrotal exam is normal. How would you manage him?

Cbclips 45

cbclips Episode 45 - Pediatric Surgery Club

https://pediatricsurgery.club/forums/forum/pediatric-surgery-discussions-ac/pediatric-gynecology/11812-cbclips-episode-45

Routine prenatal ultrasound reveals a simple pelvic cyst in a 36-week gestation female fetus. The baby is born at term. A follow-up ultrasound on the 2nd day of life reveals the cyst shown and one normal ovary. The baby is asymptomatic and has a normal exam. What will you do next?

Cbclips 46

cbclips Episode 46 - Pediatric Surgery Club

https://pediatricsurgery.club/forums/forum/pediatric-surgery-discussions-ac/neonatal-intestinal-obstruction/12051-cbclips-episode-46

A term female infant of a diabetic mother is transferred to you on the 2nd day of life for bilious emesis and failure to pass meconium. Vital signs are normal. The abdomen is distended but soft and non-tender. Rectal exam results in the passage of a small amount of meconium. Plain films and a water-soluble contrast enema are

Cbclips 47

cbclips Episode 47 - Pediatric Surgery Club

https://pediatricsurgery.club/forums/forum/pediatric-surgery-discussions-ac/head-and-neck-lesions/12324-cbclips-episode-47

A healthy 9-year old boy presents with a 5-day history of increasing right neck swelling and pain unresponsive to oral antibiotics. He is febrile with a very tender erythematous right neck fullness. He has difficulty with neck motion. Ultrasound shows a complex mass in close proximity to the right thyroid. What is your

Cbclips 48

cbclips Episode 48 - Pediatric Surgery Club

https://pediatricsurgery.club/forums/forum/pediatric-surgery-discussions-ac/gastrointestinal-diseases/12697-cbclips-episode-48

A 9-month old girl with Trisomy 21 presents with acute non bilious emesis, worsening over 5 days. She has a history of intermittent vomiting and poor weight gain since birth, diagnosed and treated as gastro-esophageal reflux disease. Exam shows a deyhdrated, but non-toxic baby weighing 5.4 kg (15th percentile). Her abdomen is

Cbclips 49

cbclips Episode 49 - Pediatric Surgery Club

https://pediatricsurgery.club/forums/forum/pediatric-surgery-discussions-ac/chest-wall-and-thoracic-lesions/13058-cbclips-episode-49

A baby boy with a prenatally diagnosed left lung congenital pulmonary airway malformation is asymptomatic at birth and has a normal chest x-ray prior to hospital discharge on the 2nd day of life. A CT scan at 4 months of age reveals a cystic mass with a systemic arterial supply. He has remained asymptomatic. What is your

Cbclips 50

cbclips Episode 50 - Pediatric Surgery Club

https://pediatricsurgery.club/forums/forum/pediatric-surgery-discussions-ac/abdominal-wall-defects/13349-cbclips-episode-50

A female fetus is diagnosed with omphalocele on prenatal ultrasound. At 26 weeks gestation, omphalocele diameter / abdominal circumference = 0.24. No other fetal anomalies are detected. She is born by C-section at 39 weeks gestation. 24 hours after birth, she has 100% SaO2 while spontaneously breathing room air, is

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Case Based Clinical Learning In Pediatric Surgery 50 collection! by prof Sherif Emil

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