BACKGROUND There is no clear consensus regarding radiologic evaluation of head trauma in young children without traumatic brain injury. We conducted a study to develop and validate a clinical decision rule to identify skull fracture in young children with head trauma and no immediate need for head tomography. METHODS We performed a prospective cohort study in 3 tertiary care emergency departm...

BACKGROUND The lungs are the most common site of hydatid cysts in children. Rupture is the main complication of cysts causing morbidity and mortality. In this study we aimed to comprehensively describe the CT signs for cysts and analyze the relationship of cyst ruptures to the diameter and location of cyst. MATERIAL AND METHODS A total of 145 cysts from 102 patients, aged 17 years or younger, w...

The online-only version of this article, which offers more detailed information on additional selected causes of muscle weakness, is available at: http://www.aafp.org/ afp/URL. M uscle weakness is a common complaint among patients presenting to the family physician’s office. Although the cause of weakness occasionally may be apparent, often it is unclear, puzzling the physician and frustrating ...

Cytomegalovirus infection is a common pathogen which rarely cause symptomatic disease in an immunocompetent patient. We present an immocompetent 55 year old male with complaints of pain abdomen and loss of appetite. Upper gastrointestinal endoscopy and radiologic features were suggestive of malignancy and partial gastrectomy was performed. Histopathologic findings were diagnostic of cytomegalov...

1. List the common causes of altered level of consciousness. 2. Discuss how to differentiate medical and structural causes of altered level of consciousness. 3. Develop a plan for the initial phase of evaluation for an altered level of consciousness. 4. Recognize the importance of radiologic imaging in a child who has an altered level of consciousness. 5. Know which ingestions are likely to cau...

J.W. Henson S. Ulmer G.J. Harris SUMMARY: There are substantial challenges in the radiologic evaluation of tumor size during clinical trials, and it is important for neuroradiologists to have a firm understanding of these issues. This review will examine measurement approaches, response criteria, selection of lesions for measurement, technical imaging considerations, interval between tumor meas...

The natural history, presenting signs and symptoms, and radiologic evaluation of patients with hypernephroma are reviewed. Radical nephrectomy is the treatment of choice in patients free of metastatic disease. Patients who have evidence of metastatic disease should not be subjected to nephrectomy unless hemorrhage, pain, or some other severe local problem warrants it. Radiotherapy and chemother...

Bilateral paranasal sinus mucoceles are rare. To date, only 5 cases have been reported in the English-language literature. All were bilaterally symmetrical. We present a patient with bilateral asymmetric mucoceles. This patient had a symptomatic mucocele of the right ethmoid sinus with orbital extension and an asymptomatic mucocele involving the left maxillary sinus with retroorbital extension....