Radiology

More than the rule of 2s: All about Meckel Diverticulum

By Brad Sobolewski, MD, MEd|2023-10-26T11:05:14-04:00October 26th, 2023|Radiology, Surgery|

Meckel's diverticulum is a congenital anomaly of the small intestine that can present with various clinical manifestations, including rectal bleeding and obstruction. Recognizing the characteristic features and understanding the differential diagnosis is crucial in managing patients with lower gastrointestinal bleeding. The Meckel's scan is the preferred diagnostic modality, and prompt surgical consultation may be necessary for symptomatic cases.

My son made me a video about whether or not X-Rays are needed in constipation

By Brad Sobolewski, MD, MEd|2023-09-19T22:01:48-04:00September 22nd, 2023|Choosing Wisely, Radiology|

For most children with children with constipation an abdominal X-Ray will not assist in making the diagnosis or quantifying the exact stool burden. @WilltheThrill2 made a special video that helps to answer the question. And yes, he's my son. Enjoy!

You don’t need X-Rays to tell if a child is constipated

By Brad Sobolewski, MD, MEd|2023-09-14T20:31:18-04:00September 20th, 2023|Choosing Wisely, Gastroenterology, Radiology|

X-Rays are generally not necessary for making the diagnosis of constipation or assessing the stool burden. In fact, they may obscure another diagnosis.

You don’t need labs or CT scans in children who have recovered after a simple febrile or first time seizure

By Brad Sobolewski, MD, MEd|2023-09-06T15:04:55-04:00September 13th, 2023|Choosing Wisely, Neurology, Radiology|

Labs or CT scans are not necessary to provide additional diagnostic information or reassurance for most children who recover completely following simple febrile seizures or unprovoked first time generalized seizures. The rate of abnormalities on these studies is very low, and the cost and downsides are too high to justify ordering them on a regular basis.

A classic educational video about the dangers of Repetitive Read Syndrome

By Brad Sobolewski, MD, MEd|2023-08-29T10:56:32-04:00September 1st, 2023|Choosing Wisely, Radiology|

Repetitive Read Syndrome is affecting Radiologists across the globe. Symptoms include dictations including the same phrasing and suggesting clinical correlation repeatedly. We can help our Radiology colleagues by avoiding unnecessary chest X-ray orders for most children with respiratory problems such as bronchiolitis, asthma exacerbations, croup, or first-time wheezing.

A video that teaches you how to talk about why we don’t need chest X-Rays in respiratory illnesses

By Brad Sobolewski, MD, MEd|2023-08-27T10:18:24-04:00September 1st, 2023|Choosing Wisely, Infectious Diseases, Radiology|

Did you know that chest X-Rays are not recommended for most children with respiratory problems such as bronchiolitis, asthma exacerbations, croup, or first-time wheezing. Choosing Wisely recommends that doctors and all medical providers have detailed conversations with patients and their families about why X-Rays are unlikely to give new information or provide any additional reassurance. They also expose young children to unnecessary radiation. This video features Dr. Vincent Alexander who conducts a simulated discussion with a parent of a child with a respiratory illness.

You don’t need X-Rays in a child with bronchiolitis, croup, asthma, or first time wheezing

By Brad Sobolewski, MD, MEd|2023-10-11T14:10:39-04:00August 30th, 2023|Choosing Wisely, Infectious Diseases, Pulmonology, Radiology|

This is a blog post and a podcast episode designed to disseminate the important work of Choosing Wisely, an initiative of the the American Board of Internal Medicine Foundation, the goal of which is the spark conversations between clinicians and patients about what tests, treatments, [...]

Why we do what we do: Ankle injury imaging rules in children

By Brad Sobolewski, MD, MEd|2023-04-19T15:41:26-04:00April 19th, 2023|Orthopedics, Radiology|

There are several decision rules for ankle injury X-Rays in children. Ankle fractures occur most commonly in 10-15 year olds, and usually result from an inversion injury mechanism. Sprains are far more common and usually involve the anterior talofibular ligament. Let's briefly review some of the existing rules that we use to (hopefully) help us order fewer ankle X-Rays.

A podcast on using ultrasound to diagnose acute appendicitis

By Brad Sobolewski, MD, MEd|2022-03-31T11:17:53-04:00March 25th, 2022|Podcasts, Radiology, Surgery|

This episode of PEM Currents: The Pediatric Emergency Medicine podcast is focused on the use of ultrasound to make the diagnosis of acute appendicitis. You'll learn about how a right lower quadrant ultrasound is performed, what we look for on the images, how to interpret [...]

A podcast on intussusception

By Brad Sobolewski, MD, MEd|2022-02-11T14:36:15-05:00February 11th, 2022|Podcasts, Radiology, Surgery|

This episode reviews the diagnosis and management in practical manner that should help you on your next shift. It also features the talents of Kriti Gupta, MD, a Pediatric Emergency Medicine fellow from NewYork Presbyterian Brooklyn Methodist Hospital who is both the producer and host of this episode.