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  1. Admin

    a clinical pearl In diagnosis of Gynecomastia

    Quote from "Pediatric Surgery (Springer Surgery Atlas)" by Prem Puri, Michael E. Höllwarth - "The breast tissue present in gynecomastia is most often tender, firm, and subareolar. One third of boys will present with unilateral gynecomastia. A mass in the breast that is not subareolar and is...
  2. Admin

    a clinical pearl During CDH repair

    Quote from "Pediatric Surgery (Springer Surgery Atlas)" by Prem Puri, Michael E. Höllwarth - "After the hernia is reduced, an attempt is made to visualize the ipsilateral lung. This is usually done by retracting the anterior rim of the diaphragm. Often, a hypoplastic lung can be observed at the...
  3. Admin

    weekly question 1/6/2025

    You are consulted on a sixteen-year-old who is being evaluated for wheezing unresponsive to bronchodilators. A computerized tomography (CT) scan of the chest is obtained. The most likely diagnosis in this patient with wheezing is a congenital pulmonary airway malformation b intralobar...
  4. Admin

    a clinical pearl Antenatal us findings in CDH

    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...
  5. Admin

    weekly question 25/5/2025

    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...
  6. Admin

    weekly question 25/5/2025

    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...
  7. Admin

    video Ovarian dermoid cyst (Mature teratoma). Ovarian sparing cystectomy

    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
  8. Admin

    lecture Disorders of Sex Development presentation

    download lecture from second post
  9. Admin

    weekly question 18/5/2025

    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...
  10. Admin

    history Achalasia of cardia history

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