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Pediatric Surgical Research and Innovation

PEDIATRIC SURGICAL RESEARCH AND INNOVATION You are a member of your hospital REB and you are asked to review the attached protocol: “A multi-center, prospective randomized trial to evaluate routine use of a silastic spring-loaded silo for infants with...

Child Abuse

CHILD ABUSE Scott is a 10-year-old boy who is brought to the emergency department because of fecal incontinence. He was first seen in the community hospital that transferred him to the pediatric hospital. According to his mother, Scott has been a well boy until five...

Prenatal Consultation

PRENATAL CONSULTATION You are asked to see Karie in an antenatal consult. Karie is an 18-year-old single mother and she is now 19 weeks pregnant. At an 18-week ultrasound, the female fetus was found to suffer from gastroschisis. There is a moderate amount of bowel...

Multiculturalism

MULTICULTURALISM Stanislav is an 18-month-old boy who presented with abdominal distension for 2-3 months. On ultrasound he was found to have a large central lesion in his liver consistent with hepatoblastoma. On further work up he was found to have an AFP of 7500....

Surgical Error

SURGICAL ERROR Simon, a 3-month-old, presents to the Emergency Room with an incarcerated right inguinal hernia. Simon was born at term and the mother recently noticed a bulge on and off in his right groin. His hernia is the size of a golf ball and tender. The skin is...