HOW TO OBTAIN CME CREDITS BY READING THIS ISSUE
Pediatricians can receive Category I credits for the Physician's Recognition Award of the American Medical Association by reading the following articles and successfully completing the quiz at the end of the issue. Complete instructions are given on the quiz pages.
The Pretest below has been prepared to assist you in studying the following material. It indicates some of the areas to be covered and will make it possible for you to challenge your present knowledge of the material before reading further.
The modified Monro-Kelli doctrine states that "the cranium is a closed box." To many primary care providers, that statement is all too literal in that management of the brain-injured child requires the immediate collaborative efforts of primary and specialty services to adequately visualize and treat the underlying process. Whether it is a tumor, mass lesion, hardware failure, or infection, a high index of suspicion must be maintained to avoid disastrous consequences. This issue of Pediatric Annals provides excellent reviews on these and other neurosurgical issues pertinent to the primary care practitioner.
1. For most children with simple craniosynostosis, surgical intervention is made primarily because of cosmetic considerations.
2. Placement of cerebrospinal fluid (CSF) shunts is the most commonly performed neurosurgical procedure.
3. The most common cause of severe brain injury in infants is accidental falls.
4. The diagnosis of concussion requires loss of consciousness.
Answers to the Pretest:
1.A 2. A 3. B 4. B