#medpedsrox

[teachingrounds]

After birth, a child with spina bifida diagnosed in utero can be imaged with MRI to evaluate for other abnormalities (tethered cord, split cord, filar/intradural lipoma, among others).

Case: Myelomeningocele with tethered cord. Sagittal and axial T2-weighted MRI of the lumbar spine of an 18 year-old male. Large hyperintense cystic structure is seen in the posterior  soft tissues, with communication to the spinal canal. The cord terminates at L3 (normal is L1-L2) and is abnormally apposed to the posterior dura. Sacral nerve roots and thecal sac herniate into the posterior myelomeningocele.

Case courtesy of Dr Hidayatullah Hamidi, Radiopaedia.org, rID: 70353

#TeachingRounds #FOAMed #FOAMRad #Neuroradiology #Neurology #Pediatrics #Peds #PedsRad #PediatricRadiology #PedsNeuro #MRI #MRIRad #Spine #spinabifida #congenital

[teachingrounds]

How much weight should a baby gain?

Infants 1-3 months should gain about 1oz (30 grams) a day. Infants 4-6 months should gain about 1oz every 2 days (15 grams per day). Infants 7-12 months should gain about 1oz every 3 days (10 grams per day). ~ Dr. John Szymusiak (Children's Hospital of Pittsburgh)

[teachingrounds]

Wolf-Hirschhorn Syndrome--1:97,000 usually de novo deletion of 4p (short arm). Leads to microcephaly, seizures, heart defects, scoliosis, pulmonary infections, and renal failure. The larger the mutation, the shorter the life expectancy; patients typically die by 2-6 years. I once heard a case presentation about a patient who was still living at 24, but her state-funded adjunctive therapies had been discontinued at 21, and she continues to receive dialysis at the pediatric hospital. What will we as a profession and a society do now that many children are living longer with multiple health care needs? This is the patient population I want to serve as a MedPeds doctor, but I can't go it alone. #TeachingRounds, #FOAMed, #genetics, #development, #MedPedsRox, #advocacy