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Pedia Handy Notes 2 > 2 gastrology > Flashcards

2 gastrology Flashcards

1
Q

Sugical closure for cleft lip

A

3 mos

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2
Q

Sx closure of cleft palate

A

Before 1yo

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3
Q

Most frequent congenital anomaly of esophagus

A

Esophageal atresia

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4
Q

MC type of esophageal atresia

A

Upper esophagus ends in blind pouch

TEF is connected to distal esophagus

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5
Q

Primary esophageal motor disorder of unknown etiology

A

Achalasia - loss of LES relaxation and loss of esophageal peristalsis –> functional obstruction of distal esophagus

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6
Q

Achalasia
Alacrima
Corticotropin sensitivity/adrenal insufficiency

A

Allgrove syndrome

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7
Q

Bird’s beak

A

Achalasia

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8
Q

MC esophageal disorder in children

A

GERD

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9
Q

Major cause of morbidity and mortality in esophageal varices

A

Hemorrhage

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10
Q

Olive shape mass

A

Hypertrophic pyloric stenosis

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11
Q

String sign
Shoulder sign
Double tract sign
Beak sign

A

PS

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12
Q

Sudden onset of severe epig pain
Intractable retching w/ emesis
Inability to pass a tube into stomach

A

Gastric volvulus

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13
Q

Double bubble sign

A

Duodenal atresia

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14
Q

Windsock web

A

Duodenal atresia

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15
Q

Windsock web

A

Duodenal atresia

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16
Q

Hallmark of duodenal obstn

A

Bilious vomiting w/ abd distention

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17
Q

Apple peel appearance

A

Type 3b jejunoileal atresia

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18
Q

MC type of malrotation

A

Failure of cecum to move into RLQ

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19
Q

Double bubble sign
Corkscrew appearance of small bowel
Duodenal obstn w/bird’s beak

A

Malrotation

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20
Q

MC congenital gastrointestinal anomaly

A

Meckelc diverticulum

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21
Q

Mc cx of lower intestinal obstn in neonates

A

Hirschprung dse

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22
Q

Anorectal malformation
Sacral bone anomalies hypoplasia
Presacral anomalies masses anterior meningocele

A

Currarino triad

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23
Q

Gold standard for hirschprung

A

Rectal suction biopsy

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24
Q

MC cx of intestinal obstn bet 3mo-6yo

A

Intussusception

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25
Q

MC cx of abd emergency in <2yo

A

Intussusception

26
Q

Triad of intussusception

A

Pain
Current jelly stool
Tender sausage shaped mass

27
Q

Coiled spring sign

A

Intussusception

28
Q

Triad of Crohn dse

A

Diarrhea
Wt loss
Abd pain

29
Q

define cyclic vomiting

A

12 ep/yr
lasting for 3-4 days
>4 emesis/hr

30
Q 
fever
severe anemia
hypoalbuminemia
leukocytosis
>5 bloody stools/day for 5 days
A

fulminant colitis

31
Q

common complication of ulcerative colitis post op

A

pouchitis

prevented by probiotics

32
Q

MC cx of exocrine pancreatic insufficiency

A

Cystic Fibrosis

33
Q

screening for CHON losing enteropathy

A

a1 antitrypsin

34
Q

Gold standard for exocrine pancreatic function

A

direct analysis of duodenal aspirate for volume, bicarbonate, trypsin, lipase upon secretin & pancreozymin/ cholecystokinin

35
Q

immune mediated d/o elicited by ingestion of gluten

A

celiac dse (gluten sensitive enteropathy)

36
Q

MC extraintestinal manifestation of celiac dse

A

IDA unresponsive to iron tx

37
Q

MC viral pathogen of AGE

A

rotavirus

38
Q

MC bacterial pathogen of AGE

A

salmonella
shigella
e.coli

39
Q

MC cx of waterborne outbreak

A

cyrptosporidium sp

40
Q

MC acute surgical condition

A

acute appendicitis

41
Q

hallmark of diagnosis of AP

A

history & PE

42
Q

single most reliable finding of AP

A

localized abdominal tenderness

43
Q

classic point of localized tenderness w/c is the junction of lateral & middle thirds of the line joining the R asis & umbilicus

A

McBurney’s point

44
Q

active R thigh flexion or passive hip extension

A

psoas sign

45
Q

adductor pain after internal rotation of a flexed thigh

A

obturator sign

46
Q

referred rebound tenderness

A

rovsing sign

47
Q

gold standard for AP

A

CT scan

48
Q

MC cx of small bowel obstruction

A

missed appendicitis

49
Q

MC childhood bowel tumor

A

Juvenile Colonic Polyps

50
Q

MC malignancy of GIT in children

A

Lymphoma

51
Q

hallmark of inguinal hernia

A

smooth firm mass from inguinal ring lateral to pubic tubercle, enlarges with increase intraabdominal pressure

52
Q

feeling of layers of hernia sac as they slide over the spermatic cord structure with rolling of spermatic cord beneath the index finger at the pubic tubercle

A

silk glove sign

53
Q

MC pancreatic disorder in children

A

Pancreatitis

54
Q

bluish discoloration around umbilicus

A

Cullen sign

55
Q

bluish discoloration of flank

A

Grey Turner Sign

56
Q

abdominal xray finding of pancreatits

A

cut off sign

57
Q

idiopathic familial intrahepati cholestasis assoc w/ lymphedema of lower extremities

A

Aagenaes syndrome

58
Q

MC syndrome w/ intrahepatic bile duct paucity

A

Alagille syndrome (arteriohepatic dysplasia)

59
Q

triangular cord sign

A

biliary atresia

60
Q

Fleischer rings in cornea

A

Wilson dse

Pedia Handy Notes 2 (7 decks)

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