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Searches 42,056 expert statements in 1,322 recordings · not medical advice

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Wilms Tumor

Biopsy can upstage the patient and change treatment down the line, including radiation that may otherwise not have been necessary.

What the experts said

Trauma

Cites a guideline

The priorities for evaluating a small child with multi-system trauma are the same as for an adult patient - ensure airway, breathing, and circulation.

Open questions

Where the experts disagree

Biliary Atresia

Revision Kasai for post-operative cholangitis

Greg Tiao
Performs revision Kasai in highly selected patients who previously cleared jaundice then became acholic after cholangitis; 25-patient series showed native liver salvage possible
Mark Davenport
Does not perform revision Kasai in early phase or infancy; may consider later if cyst formation demonstrated, but not for cholangitis

Neuroblastoma

Necessity of biopsy in classic stage MS presentation

Dan von Allman
With classic findings (high catecholamines, blue blebs, liver mets, adrenal mass), biopsy may not be necessary
Erika Neumann
Biopsy may be needed to determine if NMYC is amplified, which changes staging from MS to M

Educational content. Not medical advice. Expert statements are excerpts from recorded clinical discussions and are not a substitute for clinical judgement, local policy or current guidelines.