Pediatric Evaluation and Diagnostic Services (PEDS ...
Transcript of Pediatric Evaluation and Diagnostic Services (PEDS ...
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Slide 1 - Welcome
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Slide 2 - Goals
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Slide 3 - Abusive Head Trauma
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Slide 4 - Background
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Slide 5 - Syndrome
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Slide 6 - Head Trauma in Child Abuse
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Slide 7 - Child Characteristics
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Slide 8 - Perpetrators
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Slide 9 - Anatomy of the Infant Head
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Slide 10 - Brain Parenchyma
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Slide 11 - Infant Brain vs. Adult Brain
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Slide 12 - Abusive Head Trauma 2
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Slide 13 - Effects of Shaking 1
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Slide 14 - Effects of Shaking 2
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Slide 15 - Effects of Shaking 3
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Slide 16 - Effects of Shaking 4
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Slide 17 - Effects of Shaking 5
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Slide 18 - Intracranial Injuries
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Slide 19 - Infant Brain Injuries
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Slide 20 - CT Scan - Epidural Hematoma
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Slide 21 - CT Scan
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Slide 22 - CT Scan - Subdural Hematoma
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Slide 23 - Subdural Hematoma at Autopsy
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Slide 24 - White and Grey Matter
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Slide 25 - Axonal Injury 1
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Slide 26 - Microscopic View
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Slide 27 - Normal Axon Function
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Slide 28 – Axonal Injury 2
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Slide 29 - Severe Diffuse Axonal Injury
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Slide 30 - Brain Injury Demonstrations
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Slide 31 - Skull Fractures
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Slide 32 - Simple Skull Fracture
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Slide 33 - Complex Skull Fracture
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Slide 34 - Eye Injury
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Slide 35 - Eye Anatomy
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Slide 36 - Retinal Hemorrhages
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Slide 37 - Retinal Hemorrhages Illustrated
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Slide 38 - Retinal Hemorrhages with Shaking
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Slide 39 - Normal Eye
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Slide 40 - Eye with Hemorrhages
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Slide 41 - Eye with Significant Hemorrhages
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Slide 42 - Retinal Hemorrhages 2
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Slide 43 - Extracranial Injuries
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Slide 44 - Rib Fractures 1
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Slide 45 - Rib Fractures 2
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Slide 46 - Rib Fractures 3
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Slide 47 - Rib Fractures 4
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Slide 48 - Rib Fractures 5
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Slide 49 - Rib Fractures 6
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Slide 50 - Bone Anatomy
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Slide 51 - Bone Injuries 1
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Slide 52 - Bone Injuries 2
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Slide 53 - Bone Injuries 3
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Slide 54 - What do the Alleged Perpetrators Say?
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Slide 55 - Clinical Presentation
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Slide 56 - Injuries
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Slide 57 - Medical Work-up
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Slide 58 - History 1
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Slide 59 - History 2
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Slide 60 - Physical Examination
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Slide 61 - Lab and Radiographic Studies
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Slide 62 - Why Test?
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Slide 63 - Other Studies/Consultants
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Slide 64 - Follow-up
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Slide 65 - CT Scans of Shaking Victim
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Slide 66 - Case 1 - EV 1
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Slide 67 - Case 1 - EV 2
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Slide 68 - Case 1 - EV 3
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Slide 69 - Case 1 - EV 4
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Slide 70 - Case 1 - EV 5
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Slide 71 - Case 1 - EV 6
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Slide 72 - Case 1 - EV 7
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Slide 73 - Case 1 - EV 8
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Slide 74 - Case 1 - EV Summary
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Slide 75 - Missed Cases of AHT
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Slide 76 - Erroneous Diagnoses
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Slide 77 - Missed Radiographic Diagnoses
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Slide 78 - Increased Risk of Missed Trauma
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Slide 79 – Remaining Vigilant
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Slide 80 - Case 2 - Twin B 1
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Slide 81 - Case 2 - Twin B 2
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Slide 82 - Case 2 - Twin B 3
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Slide 83 - Case 2 - Twin B 4
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Slide 84 - Case 2 - Twin A 1
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Slide 85 - Case 2 - JL Twins Summary
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Slide 86 - Evaluate Siblings
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Slide 87 - Differential Diagnosis – Intracranial Bleeding
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Slide 88 - Frequency of Short Fall Deaths
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Slide 89 - Publicly Witnessed Short Falls
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Slide 90 - Plunkett (2001)
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Slide 91 - Limitations of Short Fall Studies
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Slide 92 - Other Causes of IC Bleeding 1
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Slide 93 - Other Causes of IC Bleeding 2
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Slide 94 - Birth Trauma
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Slide 95 - Other Theories
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Slide 96 - In the Courtroom
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Slide 97 - “So-called SBS”
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Slide 98 - Duhaime
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Slide 99 - Final Comments
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Slide 100 - Thank You