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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
MC cx of abd emergency in <2yo
Intussusception
26
Triad of intussusception
Pain Current jelly stool Tender sausage shaped mass
27
Coiled spring sign
Intussusception
28
Triad of Crohn dse
Diarrhea Wt loss Abd pain
29
define cyclic vomiting
12 ep/yr lasting for 3-4 days >4 emesis/hr
30
``` fever severe anemia hypoalbuminemia leukocytosis >5 bloody stools/day for 5 days ```
fulminant colitis
31
common complication of ulcerative colitis post op
pouchitis | prevented by probiotics
32
MC cx of exocrine pancreatic insufficiency
Cystic Fibrosis
33
screening for CHON losing enteropathy
a1 antitrypsin
34
Gold standard for exocrine pancreatic function
direct analysis of duodenal aspirate for volume, bicarbonate, trypsin, lipase upon secretin & pancreozymin/ cholecystokinin
35
immune mediated d/o elicited by ingestion of gluten
celiac dse (gluten sensitive enteropathy)
36
MC extraintestinal manifestation of celiac dse
IDA unresponsive to iron tx
37
MC viral pathogen of AGE
rotavirus
38
MC bacterial pathogen of AGE
salmonella shigella e.coli
39
MC cx of waterborne outbreak
cyrptosporidium sp
40
MC acute surgical condition
acute appendicitis
41
hallmark of diagnosis of AP
history & PE
42
single most reliable finding of AP
localized abdominal tenderness
43
classic point of localized tenderness w/c is the junction of lateral & middle thirds of the line joining the R asis & umbilicus
McBurney's point
44
active R thigh flexion or passive hip extension
psoas sign
45
adductor pain after internal rotation of a flexed thigh
obturator sign
46
referred rebound tenderness
rovsing sign
47
gold standard for AP
CT scan
48
MC cx of small bowel obstruction
missed appendicitis
49
MC childhood bowel tumor
Juvenile Colonic Polyps
50
MC malignancy of GIT in children
Lymphoma
51
hallmark of inguinal hernia
smooth firm mass from inguinal ring lateral to pubic tubercle, enlarges with increase intraabdominal pressure
52
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
silk glove sign
53
MC pancreatic disorder in children
Pancreatitis
54
bluish discoloration around umbilicus
Cullen sign
55
bluish discoloration of flank
Grey Turner Sign
56
abdominal xray finding of pancreatits
cut off sign
57
idiopathic familial intrahepati cholestasis assoc w/ lymphedema of lower extremities
Aagenaes syndrome
58
MC syndrome w/ intrahepatic bile duct paucity
Alagille syndrome (arteriohepatic dysplasia)
59
triangular cord sign
biliary atresia
60
Fleischer rings in cornea
Wilson dse

Pedia Handy Notes 2 (7 decks)

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