Chest radiographic features of human metapneumovirus infection in pediatric patients.

Background: Human metapneumovirus (HMPV) was identified in 2001 and is a common cause of acute respiratory illness in young children. The radiologic characteristics of laboratory-confirmed HMPV acute respiratory illness in young children have not been systematically assessed.

Objective: We systematically evaluated the radiographic characteristics of acute respiratory illness associated with HMPV in a prospective cohort of pediatric patients.

A rare accessory muscle in the hand--the flexor digitorum superficialis indicis.

Accessory muscles are easily overlooked during imaging evaluation. Although usually discovered incidentally, they are occasionally symptomatic. With increasing utilization of cross-sectional imaging, the radiologist should be prepared to readily identify these anomalous muscles.

A novel approach to supporting relationship-centered care through electronic health record ergonomic training in preclerkship medical education.

Problem: How can physicians incorporate the electronic health record (EHR) into clinical practice in a relationship-enhancing fashion ("EHR ergonomics")?

Approach: Three convenience samples of 40 second-year medical students with varying levels of EHR ergonomic training were compared in the 2012 spring semester. All participants first received basic EHR training and completed a presurvey. Two study groups were then instructed to use the EHR during the standardized patient (SP) encounter in each of four regularly scheduled Doctoring (clinical skills) course sessions.

Second opinion interpretations by specialty radiologists at a pediatric hospital: rate of disagreement and clinical implications.

Objective: The objective of our study was to identify whether a substantive difference exists between the imaging interpretations of radiologists at outside referring institutions and those of radiologists at a tertiary care children's hospital and whether such reinterpretation affects the clinical management of pediatric patients.

Materials And Methods: This retrospective chart review examined the diagnostic imaging reports of all pediatric patients referred to a tertiary care freestanding children's hospital over a 17-month period (January 1, 2009-May 31, 2010); 773 examinations met the inclusion criteria. The original and second interpretations were compared.