Highlights
Paediatric Assignment:
(1) An urgent ultrasound to assess for an intussusception is one of the most common referrals from the paediatric emergency department.
(i) With the use of labelled images or diagrams, discuss the key ultrasound appearances and sonographic signs that you would look for when assessing for an intussusception. Include in your discussion the important features that would allow you to distinguish between the different types of intussusception on ultrasound.
(ii) A 6 year old boy with acute RIF pain is referred for an abdominal ultrasound with suspected intussusception. Briefly discuss what would be the important ultrasound findings in a child of this age and suggest two differential diagnoses for the clinical presentation which may have ultrasound appearances that are similar to an intussusception. (750 words)
(2) You have been given the responsibility of developing a paediatric hip ultrasound screening protocol to assess newborns for evidence of developmental dysplasia (DDH).
(i) Discuss the key ultrasound assessment criteria you would utilise to determine if the hips are developmentally normal.
(ii) Using current literature, determine which patients would be most suitable for screening and discuss the most appropriate time frame for the initial ultrasound.
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