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Related Concept Videos

Assessment of the Abdomen II: Percussion01:18

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Percussion is a fundamental technique used to assess the liver, spleen, and abdominal organs by tapping the abdomen and interpreting the resulting sounds. This method helps identify fluid, distention, and masses through variations in sound, such as the high-pitched tympany of air-filled areas and the dullness of solid masses. Understanding how to percuss these organs provides valuable information for healthcare professionals in diagnosing conditions early.
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Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption01:23

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Understanding the physiological differences in the pediatric population is crucial for effective pharmacotherapy. Neonates, infants, and children exhibit significant variations in gastric pH, gastric emptying time, intestinal transit time, and biliary function. These variations profoundly affect oral drug absorption, necessitating a nuanced approach to pediatric dosing.Neonates present with a unique physiological profile, having a gastric pH greater than 4 and faster and more irregular gastric...
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Esophageal Perforation-I: Introduction01:22

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Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
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Appendicitis-I: Introduction01:22

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The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
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Esophageal Perforation-II: Clinical Manifestations and Management01:28

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Updated: Feb 24, 2026

Focused Assessment with Sonography for Trauma FAST Exam: Image Acquisition
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Pediatric Abdominal Trauma.

Tim Lynch1, Jennifer Kilgar1, Amal Al Shibli2

  • 1Department of Pediatrics and Medicine, Schulich School of Medicine, Western University, London, Ontario, Canada.

Current Pediatric Reviews
|August 18, 2017
PubMed
Summary
This summary is machine-generated.

Pediatric abdominal trauma, often blunt, requires prompt diagnosis. Computed Tomography (CT) and Focused Assessment with Sonography for Trauma (FAST) aid in identifying injuries, guiding management for better outcomes in children.

Keywords:
Abdominalabdominal computed tomographyintra-abdominal injurypediatrictraumaultrasound.

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Area of Science:

  • Pediatric Surgery
  • Trauma Management
  • Diagnostic Imaging

Background:

  • Abdominal trauma occurs in 25% of pediatric major trauma cases.
  • It's a leading cause of unrecognized fatal injuries in children.
  • Blunt trauma is most common, frequently injuring the spleen; nonoperative management is typical.

Purpose of the Study:

  • To outline diagnostic and management strategies for pediatric abdominal trauma.
  • To highlight the role of imaging in identifying intra-abdominal injuries.
  • To define indications for surgical intervention.

Main Methods:

  • Review of diagnostic modalities including Computed Tomography (CT) and Focused Assessment with Sonography for Trauma (FAST).
  • Discussion of initial resuscitation protocols for trauma patients in shock.
  • Outline of criteria for emergent laparotomy.

Main Results:

  • CT is the gold standard for intra-abdominal injury detection.
  • FAST has limited utility in children due to infrequent free fluid.
  • Bowel and pancreatic injuries may not be immediately apparent on CT.

Conclusions:

  • Initial FAST followed by abdominal CT is crucial for evaluating seriously injured children.
  • Combining FAST with selective CT improves detection of subtle injuries.
  • Prompt diagnosis and appropriate management are key to reducing mortality.