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correct answer b pulmonary hypoplasia Babies born with giant omphalocele often have associated pulmonary hypoplasia which can cause respiratory distress at birth, complicate attempts to surgically repair the omphalocele and be an important determinant of long term outcome. The pulmonary...

A baby with a giant omphalocele is born at 33 weeks gestation with a birth weight of 1800 gm. They have respiratory distress requiring intubation and mechanical ventilation. What is the most likely cause of respiratory morbidity in this baby with giant omphalocele? a pneumonia and sepsis b...

replaced with dropbox link

Endoflip™ procedure animation

A 12 hour old baby has not urinated over 12 hrs. The nursing team noted swelling below the umbilical clamp and removed the clamp. You were called to look at the umbilicus. What is the best next step in management of this patient? a Laparoscopy b Ultrasound c Umbilical exploration d...

A 2-day-old infant is in the newborn nursery with persistent nonbilious emesis and intolerance of feeds. A chest radiograph was obtained which is shown below. Based upon this imaging an upper GI study was obtained showing no progression of contrast beyond the stomach after 1 hour (below). What...

correct answer a Chemotherapy Patients with Beckwith-Weidemann syndrome are at risk for developing Wilms tumor and should undergo screening ultrasound every 3 months until 5 years of age. Due to their high risk for developing metachronous tumors, nephron-sparing nephrectomy is appropriate when...

An 18-month-old child with Beckwith-Weidemann syndrome is found on screening imaging to have a left renal mass that is 50% of the left renal volume. There is no tumor thrombus or right sided renal mass. The most appropriate next step in management is: a Chemotherapy b Tumor biopsy c Left...

correct answer e resolution of paradoxical motion of abdominal wall muscles during deep respiration. Literature has continued to focus on the cardiopulmonary effects of minimally invasive repair of pectus excavatum (MIRPE) otherwise known as the Nuss procedure. Children are typically not...

A 15-year old boy is in your clinic for evaluation of pectus excavatum. The patient confesses that the deformity bothers him from a cosmetic and social viewpoint. However, he and his parents are mostly concerned that he feels shortness of breath with moderate exercise and are focused on how...

You explore a 3.6 kg, 36 week old male infant with concern for intestinal atresia. At the time of the operation, you discover a Type IIIb jejunal atresia as noted in the below picture. There is only 30 cm of well-perfused bowel proximal dilated bowel prior to the atretic segment. This proximal...

A 4-year-old child who underwent a Yancey-Soave pull through for Hirschsprung disease as a newborn continues to have infrequent stools and abdominal distension. There is no twist, stricture, or retained cuff. There are circumferential ganglion cells at the anastomosis. What is the next best step...

correct answer c No packed red blood cell transfusion A red blood cell transfusion would not be appropriate in this scenario. While blood transfusions can be necessary and lifesaving in oncologic operations with bleeding, they are associated with long-term risks for inflammation and...

You are doing a nephrectomy and retroperitoneal lymph node sampling for a 3-year-old child with a large renal tumor. The preoperative hemoglobin was 8.2 g/dL and there has been minimal bleeding during the operation. The patient has been hemodynamically stable with a urine output of 1.8 ml/kg/hr...

another video https://www.dropbox.com/scl/fi/8hmm3kcdy380tfyy2dy57/First-stage-Fowler-stephen-procedure-for-non-palpable-undescended-testis-UDT-Pediatric-Urologist.mp4?rlkey=azjtpwrskg77tdpcihf2xsa82&dl=0

dropbox.com/scl/fi/v77scrn2y9q2ar1p6zz2o/Testis-sparing-excision-of-Testicular-tumor-dermoid-mature-teratoma-Pediatric-Urologist.mp4?rlkey=d2ix6o9d97we895xxze6tszqg&dl=0

see video link in second post

We've just turned 5 We are ... well ... 5 years old now That's quite a cool age for a site run by a single person. We hope you keep having a good time being here Thanks to all pediatric surgeons for being here. And that's a wrap. Happy anniversary and to many more. full details here...

Quote from "Pediatric Surgery (Springer Surgery Atlas)" by Prem Puri, Michael E. Höllwarth - "Tapering is indicated in patients with sufficient intestinal length but severely dilated small bowel with impaired propulsive peristalsis. The intestinal content in the enlarged intestinal loops causes...

Quote from "Pediatric Surgery (Springer Surgery Atlas)" by Prem Puri, Michael E. Höllwarth - "Surgery is indicated only for selected patients with any one of three conditions: (1) when the absorptive surface area is definitely too small to allow enteral feeding; (2) when severe dysmotility in...