{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T01:37:14Z","timestamp":1784857034211,"version":"3.55.0"},"reference-count":35,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rofo"],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:p>\n            Background\u2002Radiologic care for children and adolescents during night and weekend shifts is challenging. This is especially true when a dedicated pediatric radiology front or background service is not available.<\/jats:p><jats:p>\n            Methods\u2002The purpose of this review is to present the approach, the most relevant diagnoses, and their differential diagnoses based on four common example cases \u2013 abdominal pain, respiratory\/chest pain, headache, and refusal to walk. Essentials such as clinical classification (e.\u200ag., disease dynamics) and practical instructions (e.\u200ag., necessity of acute cross-sectional imaging) are presented.<\/jats:p><jats:p>\n            Results and Conclusion\u2002For the abdomen, appendicitis ranks first among acute diseases. Other important diseases are intussusception and volvulus. Far more frequently, however, gastroenteritis is the cause of abdominal pain. Usually no imaging is required in this case. In unclear clinical situations, ultrasound may be indicated. In suspected pulmonary infections, chest imaging is limited to inconclusive cases and suspicion of complications such as pleural empyema. Major emergencies include (spontaneous) pneumothorax and aspiration. Headache is a common symptom. Immediate imaging is only necessary in cases of suspected acute inflammatory (meningitis\/encephalitis) or vascular disease (e.\u200ag., hemorrhage due to vascular malformations). MRI is the primary imaging modality in these cases. Restricted walking\/refusal to walk is a classic nonspecific sign, particularly of acute musculoskeletal disease, especially in younger children. Clinical examination is essential to narrow down the field of investigation. Besides the frequent and symptomatic coxitis fugax, the rare but serious (septic) arthritis\/osteomyelitis must not be overlooked.<\/jats:p><jats:p>\n            Key Points:\u2002<\/jats:p><jats:p>\n            Citation Format\n          <\/jats:p>","DOI":"10.1055\/a-1948-1380","type":"journal-article","created":{"date-parts":[[2022,10,19]],"date-time":"2022-10-19T23:07:19Z","timestamp":1666220839000},"page":"205-216","source":"Crossref","is-referenced-by-count":2,"title":["Acute care diagnostics in children for general radiologists \u2013 not alone in the hospital at night"],"prefix":"10.1055","volume":"195","author":[{"given":"Meinrad","family":"Beer","sequence":"additional","affiliation":[{"name":"Department of Diagnostic and Interventional Radiology, University Hospital Ulm, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hans-Joachim","family":"Mentzel","sequence":"additional","affiliation":[{"name":"Department of Radiology\/Division of Paediatric Radiology, Jena University Hospital, Jena, Germany"},{"name":"President, German Society for Pediatric Radiology, Jena, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc","family":"Steinborn","sequence":"additional","affiliation":[{"name":"Institute for Diagnostic and Interventional Radiology and Pediatric Radiology, Munich Municipal Hospital Group, Munchen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthias Cornelius","family":"Schaal","sequence":"additional","affiliation":[{"name":"Department of Diagnostic and Interventional Radiology, University Hospital Ulm, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2022,10,19]]},"reference":[{"issue":"03","key":"ref1","doi-asserted-by":"publisher","first-page":"525","DOI":"10.1016\/j.pcl.2017.01.012","article-title":"Abdominal Pain in Children: From the Eternal City to the Examination Room","volume":"64","author":"D K 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