100
Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2 Page 1 of 100 Slide 1 - Welcome

Pediatric Evaluation and Diagnostic Services (PEDS

  • Upload
    others

  • View
    1

  • Download
    0

Embed Size (px)

Citation preview

Page 1: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 1 of 100

Slide 1 - Welcome

Page 2: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 2 of 100

Slide 2 - Goals

Page 3: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 3 of 100

Slide 3 - Abusive Head Trauma

Page 4: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 4 of 100

Slide 4 - Background

Page 5: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 5 of 100

Slide 5 - Syndrome

Page 6: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 6 of 100

Slide 6 - Head Trauma in Child Abuse

Page 7: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 7 of 100

Slide 7 - Child Characteristics

Page 8: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 8 of 100

Slide 8 - Perpetrators

Page 9: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 9 of 100

Slide 9 - Anatomy of the Infant Head

Page 10: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 10 of 100

Slide 10 - Brain Parenchyma

Page 11: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 11 of 100

Slide 11 - Infant Brain vs. Adult Brain

Page 12: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 12 of 100

Slide 12 - Abusive Head Trauma 2

Page 13: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 13 of 100

Slide 13 - Effects of Shaking 1

Page 14: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 14 of 100

Slide 14 - Effects of Shaking 2

Page 15: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 15 of 100

Slide 15 - Effects of Shaking 3

Page 16: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 16 of 100

Slide 16 - Effects of Shaking 4

Page 17: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 17 of 100

Slide 17 - Effects of Shaking 5

Page 18: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 18 of 100

Slide 18 - Intracranial Injuries

Page 19: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 19 of 100

Slide 19 - Infant Brain Injuries

Page 20: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 20 of 100

Slide 20 - CT Scan - Epidural Hematoma

Page 21: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 21 of 100

Slide 21 - CT Scan

Page 22: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 22 of 100

Slide 22 - CT Scan - Subdural Hematoma

Page 23: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 23 of 100

Slide 23 - Subdural Hematoma at Autopsy

Page 24: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 24 of 100

Slide 24 - White and Grey Matter

Page 25: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 25 of 100

Slide 25 - Axonal Injury 1

Page 26: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 26 of 100

Slide 26 - Microscopic View

Page 27: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 27 of 100

Slide 27 - Normal Axon Function

Page 28: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 28 of 100

Slide 28 – Axonal Injury 2

Page 29: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 29 of 100

Slide 29 - Severe Diffuse Axonal Injury

Page 30: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 30 of 100

Slide 30 - Brain Injury Demonstrations

Page 31: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 31 of 100

Slide 31 - Skull Fractures

Page 32: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 32 of 100

Slide 32 - Simple Skull Fracture

Page 33: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 33 of 100

Slide 33 - Complex Skull Fracture

Page 34: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 34 of 100

Slide 34 - Eye Injury

Page 35: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 35 of 100

Slide 35 - Eye Anatomy

Page 36: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 36 of 100

Slide 36 - Retinal Hemorrhages

Page 37: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 37 of 100

Slide 37 - Retinal Hemorrhages Illustrated

Page 38: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 38 of 100

Slide 38 - Retinal Hemorrhages with Shaking

Page 39: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 39 of 100

Slide 39 - Normal Eye

Page 40: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 40 of 100

Slide 40 - Eye with Hemorrhages

Page 41: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 41 of 100

Slide 41 - Eye with Significant Hemorrhages

Page 42: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 42 of 100

Slide 42 - Retinal Hemorrhages 2

Page 43: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 43 of 100

Slide 43 - Extracranial Injuries

Page 44: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 44 of 100

Slide 44 - Rib Fractures 1

Page 45: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 45 of 100

Slide 45 - Rib Fractures 2

Page 46: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 46 of 100

Slide 46 - Rib Fractures 3

Page 47: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 47 of 100

Slide 47 - Rib Fractures 4

Page 48: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 48 of 100

Slide 48 - Rib Fractures 5

Page 49: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 49 of 100

Slide 49 - Rib Fractures 6

Page 50: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 50 of 100

Slide 50 - Bone Anatomy

Page 51: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 51 of 100

Slide 51 - Bone Injuries 1

Page 52: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 52 of 100

Slide 52 - Bone Injuries 2

Page 53: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 53 of 100

Slide 53 - Bone Injuries 3

Page 54: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 54 of 100

Slide 54 - What do the Alleged Perpetrators Say?

Page 55: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 55 of 100

Slide 55 - Clinical Presentation

Page 56: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 56 of 100

Slide 56 - Injuries

Page 57: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 57 of 100

Slide 57 - Medical Work-up

Page 58: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 58 of 100

Slide 58 - History 1

Page 59: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 59 of 100

Slide 59 - History 2

Page 60: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 60 of 100

Slide 60 - Physical Examination

Page 61: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 61 of 100

Slide 61 - Lab and Radiographic Studies

Page 62: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 62 of 100

Slide 62 - Why Test?

Page 63: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 63 of 100

Slide 63 - Other Studies/Consultants

Page 64: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 64 of 100

Slide 64 - Follow-up

Page 65: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 65 of 100

Slide 65 - CT Scans of Shaking Victim

Page 66: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 66 of 100

Slide 66 - Case 1 - EV 1

Page 67: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 67 of 100

Slide 67 - Case 1 - EV 2

Page 68: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 68 of 100

Slide 68 - Case 1 - EV 3

Page 69: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 69 of 100

Slide 69 - Case 1 - EV 4

Page 70: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 70 of 100

Slide 70 - Case 1 - EV 5

Page 71: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 71 of 100

Slide 71 - Case 1 - EV 6

Page 72: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 72 of 100

Slide 72 - Case 1 - EV 7

Page 73: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 73 of 100

Slide 73 - Case 1 - EV 8

Page 74: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 74 of 100

Slide 74 - Case 1 - EV Summary

Page 75: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 75 of 100

Slide 75 - Missed Cases of AHT

Page 76: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 76 of 100

Slide 76 - Erroneous Diagnoses

Page 77: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 77 of 100

Slide 77 - Missed Radiographic Diagnoses

Page 78: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 78 of 100

Slide 78 - Increased Risk of Missed Trauma

Page 79: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 79 of 100

Slide 79 – Remaining Vigilant

Page 80: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 80 of 100

Slide 80 - Case 2 - Twin B 1

Page 81: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 81 of 100

Slide 81 - Case 2 - Twin B 2

Page 82: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 82 of 100

Slide 82 - Case 2 - Twin B 3

Page 83: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 83 of 100

Slide 83 - Case 2 - Twin B 4

Page 84: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 84 of 100

Slide 84 - Case 2 - Twin A 1

Page 85: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 85 of 100

Slide 85 - Case 2 - JL Twins Summary

Page 86: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 86 of 100

Slide 86 - Evaluate Siblings

Page 87: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 87 of 100

Slide 87 - Differential Diagnosis – Intracranial Bleeding

Page 88: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 88 of 100

Slide 88 - Frequency of Short Fall Deaths

Page 89: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 89 of 100

Slide 89 - Publicly Witnessed Short Falls

Page 90: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 90 of 100

Slide 90 - Plunkett (2001)

Page 91: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 91 of 100

Slide 91 - Limitations of Short Fall Studies

Page 92: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 92 of 100

Slide 92 - Other Causes of IC Bleeding 1

Page 93: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 93 of 100

Slide 93 - Other Causes of IC Bleeding 2

Page 94: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 94 of 100

Slide 94 - Birth Trauma

Page 95: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 95 of 100

Slide 95 - Other Theories

Page 96: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 96 of 100

Slide 96 - In the Courtroom

Page 97: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 97 of 100

Slide 97 - “So-called SBS”

Page 98: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 98 of 100

Slide 98 - Duhaime

Page 99: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 99 of 100

Slide 99 - Final Comments

Page 100: Pediatric Evaluation and Diagnostic Services (PEDS

Pediatric Evaluation and Diagnostic Services (PEDS) Computer Assisted Training - Module 2

Page 100 of 100

Slide 100 - Thank You