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Quote from "Pediatric Surgery (Springer Surgery Atlas)" by Prem Puri, Michael E. Höllwarth - "Three easily detectable features—polyhydramnios, mediastinal shift, and the absence of an intra-abdominal stomach bubble—should prompt a more careful search for herniated abdominal organs in the chest...

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Correct answer D Repeat abdominal x-rays Given the patient’s history, the initial AXR reading was consistent with a screw. Repeat imaging was obtained and is shown below: However, the repeat AXRs are concerning in that the foreign body did not move during the four-hour interval from the initial...

A 2-year-old boy is transferred from another hospital with these abdominal x-rays (AXRs) (taken 4 hours ago): He is well appearing, and his abdomen is slightly distended with mild tenderness. The father thinks that he swallowed a screw. What is the best next step in management? A Place NGT...

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another video https://www.dropbox.com/scl/fi/l6zkct0mkp1k1zfrlxf1u/Laparoscopic-Ovary-Preserving-Tumorectomy-for-a-Mature-Ovarian-Teratoma-in-a-4-year-old-Girl.mp4?rlkey=sodxrv3qehnsm2w6rwmuf6qor&dl=0

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download lecture from second post

An eleven month old infant with a history of CDH repaired with a patch returns to a follow-up clinic with poor weight gain, persistent cough, and a normal CXR. What is the next best step in this infant’s management? A Change formula B Video fluoroscopic swallow study C Laparoscopic Nissen...

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Correct answer d 3B Using precise definitions for surgical results is crucial, especially when quality and safety outcomes are being reported. In 1992, Clavien and Dindo proposed that “negative outcome should be subdivided into complication, sequelae, and failure to cure”. Complications are...

A 12-year-old patient undergoes laparoscopic cholecystectomy for acute cholecystitis and choledocholithiasis. She returns on POD 2 with abdominal pain and fevers. Ultrasound shows a large fluid collection in the right upper quadrant. ERCP shows extravasation of bile from the cystic duct. A...

Quote from "Pediatric Surgery (Springer Surgery Atlas)" by Prem Puri, Michael E. Höllwarth - "The lower respiratory tract must be free of infection and excessive secretions when decannulation is contemplated. Microlaryngoscopy and bronchoscopy must be performed to reveal any stomal granulations...

Quote from "Pediatric Surgery (Springer Surgery Atlas)" by Prem Puri, Michael E. Höllwarth - "Basic anatomic differences from an adult neck should be borne in mind. The dome of the pleura extends into the neck and is thus vulnerable to injury. The trachea is pliable and can be difficult to...

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Quote from "Pediatric Surgery (Springer Surgery Atlas)" by Prem Puri, Michael E. Höllwarth - "Unlike head and neck teratomas, lymphatic malformations are typically soft and less likely to significantly compress surrounding structures. The prenatal tracheoesophageal displacement index may be...