Pyloric stenosis Increasing head Follow-up antenatal Developmental dysplasia circumference hydronephrosis of the hip (DDH) Intussusception (Hydrocephalus) Spine ultrasound (prior to Clinically suspicious Biliary atresia as the 5 months of age) intra-abdominal/ pelvic cause of neonatal mass Urinary tract infection jaundice Chronic liver disease Renal anomaly Pediatrics: Notes and Alternative Tests Potential Diagnosis Notes and Alternative Tests Pyloric stenosis Intussusception P1 Clinically suspicious intra-abdominal/pelvic mass Providing the fontanelles are still open Increasing head circumference (Hydrocephalus) P2 When jaundice is refractory or severe Biliary atresia as the cause of Usually requested by pediatrician neonatal jaundice Refer to Associated Documents - BC Children’s Hospital Antenatal Hydronephrosis Imaging Guideline P3 Follow-up antenatal hydronephrosis P4 provided that requisition is sent in at birth, exam should Developmental dysplasia of the hip be completed by 4-6 weeks (DDH) If requisition is sent later, DDH may become a P2 or P3 exam so that exam is completed by 4-6 weeks P4 Spine ultrasound (prior to 5 months of Typically for dysraphism or cord tethering age) Urinary tract infection (UTI) For recurrent UTIs, to rule out or confirm bladder problems Chronic liver disease Or for Cystic Fibrosis liver evaluation Renal anomaly General General: Overview P1 P2 P3 P4 Immediately to 24 hours Max 7 calendar days Max 30 calendar days Max 60 calendar days Abscess Cancer staging or Scrotal or pelvic ultrasound metastatic workup as part of workup for Varicocele New suspicious Embolization/Uterine Artery palpable mass Embolization disease Peyronie’s
Pyloric stenosis Intussusception Clinically suspicious intra-abdominal/ pelvic mass Increasing head circumference (Hydrocephalus) Biliary atresia as the cause of neonatal jaundice Follow-up antenatal hydronephrosis Developmental dysplasia of the hip (DDH) Spine ultrasound (prior to 5 months of age) Urinary tract infection Chronic liver disease Renal anomaly Pediatrics: Notes and Alternative Tests Potential Diagnosis Notes and Alternative Tests P1 Pyloric stenosis Intussusception Clinically suspicious intra-abdominal/pelvic mass P2 Increasing head circumference (Hydrocephalus) Providing the fontanelles are still open Biliary atresia as the cause of neonatal jaundice When jaundice is refractory or severe Usually requested by pediatrician P3 Follow-up antenatal hydronephrosis Refer to Associated Documents - BC Children’s Hospital Antenatal Hydronephrosis Imaging Guideline P4 Developmental dysplasia of the hip (DDH) P4 provided that requisition is sent in at birth, exam should be completed by 4-6 weeks If requisition is sent later, DDH may become a P2 or P3 exam so that exam is completed by 4-6 weeks Spine ultrasound (prior to 5 months of age) Typically for dysraphism or cord tethering Urinary tract infection (UTI) For recurrent UTIs, to rule out or confirm bladder problems Chronic liver disease Or for Cystic Fibrosis liver evaluation Renal anomaly General General: Overview P1 P2 P3 P4 Immediately to 24 hours Max 7 calendar days Max 30 calendar days Max 60 calendar days Abscess Cancer staging or metastatic workup New suspicious palpable mass Scrotal or pelvic ultrasound as part of workup for Varicocele Embolization/Uterine Artery Embolization Peyronie’s disease