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GEM > 2.05 Pediatric GI (Chapman + Viscerosomatics) > Flashcards

2.05 Pediatric GI (Chapman + Viscerosomatics) Flashcards

1
Q

Sympathetic T3-T6

A

Esophagus

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2
Q

SYM T5-T9

A

Celiac ganglia, stomach, duodenum, pancreas, liver, GB, spleen

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3
Q

SYM T10-T11

A

Superior mesenteric ganglia
Appendix, cecum, kidneys, gonads
Ascending colon, 1/2 transverse colon, etc.

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4
Q

SYM T12-L2

A

Inferior mesenteric ganglia
Bladder, prostate, sex, remainder colon, lower ureters

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5
Q

What is the PARA innervation for 1/2 transverse colon, descending colon, sigmoid, rectum, lower ureter, bladder, prostate, and sex organs (not gonads) ?

A

Pelvic Splanchnic

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6
Q

Upper GI Tract SYM spinal levels?

A

T5-T9

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7
Q

Middle GI SYM spinal cord level?

A

T10-11

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8
Q

Appendix/Cecum SYM spinal cord levels?

A

T10-T11

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9
Q

Lower GI SYM spinal levels?

A

T12-L2

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10
Q

Anterior aspect of sternum Chapman point?

A

Pylorus

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11
Q

Posterior aspect Rib 10 on right lateral to costotranverse junction?

A

Pylorus

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12
Q

Intercostal space between Rib 8 and Rib 9
OR
IC space between Rib 9 and Rib 10
OR
IC space between rib 10 and Rib 11

(All near the cartilage junction)

A

Small intestine

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13
Q

IT space of T8 and T9
OR
IT space of T9 and T10
OR
IT space T10 and T11

All between SP and TP tip

A

Small intestine

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14
Q

Superior aspect of Rib 12 tip on the Right

A

Appendix

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15
Q

IT space T11 and T12 on the right

A

Appendix

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16
Q

Lateral aspect femur within 1 in from patella 1-2 inch wide space

A

Colon

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17
Q

Triangular area: TP of L2 tip, to L4 Tp, iliac crest

A

Colon

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18
Q

Lesser trochanter of femur Chapman point

A

Rectum

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19
Q

Chapman point on sacrum, close to ilium, at lower end of iliosacral joint

A

Rectum

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20
Q

What is the classic serology of pyloric stenosis?

A

Hypochloremic, hypokalemic, metabolic alkalosis

21
Q

Intermittent colicky pain, currant jelly stool, bilious emesis, abdominal mass, blood per rectum?

A

Intussusception

22
Q

Most accurate first diagnostic for intussuception?

A

Ultrasound

23
Q

What is both diagnostic and therapeutic for intussusception?

A

Air contrast enema

24
Q

What this the first line therapy for functional constipation?

A

Polyethylene glycol

25
Q

Most common cause of constipation in children?

A

Functional constipation (behavioral/fear)

26
Q

What form of Lactase deficiency is the most common in population?

A

Secondary lactase deficiency (underlying enteropathy)

27
Q

What is diagnostic for a carb malabsorption disorder?

A

Lactose breath hydrogen test

28
Q

What are symptoms of carb malabsorption?

A

Cramping, bloating, diarrhea with acidic watery stools and flatulence

29
Q

Congenital enzyme deficiency condition presenting in infancy more common in native Alaskans and Greenlanders?

A

Sucrose-isomaltase deficiency

30
Q

What is the management plan for functional constipation?

A

Fam education, diet education, meds, and behavioral modification

31
Q

20 month old with rectal bleeding and no pain? What would you consider in diagnosis?

A

Meckels Diverticulum

32
Q

What kind of surgery used to treat Meckels?

A

Ileal surgical resection

33
Q

What is the Meckel’s rule of 2?

A

2% population, 2:1 M>F, 2ft proximal ileum, 2cm diameter, common before 2 yo, 2 types tissue (pancreatic + gastric)

34
Q

Textbook projectile non-bilious vomiting full term infant 3-6 weeks?

A

Pyloric stenosis

35
Q

Diagnostic test for pyloric stenosis?

A

Ultrasound

36
Q

What is the recommended daily intake of fiber?

A

5 + #Age = total grams

37
Q

What are some organic causes of constipation?

A

Hirschsprung Dx, neuroenteric dysfunction, medications (narcotics/sedatives), low fiber feeding regiments, anatomic abnormal, systemic Dx (CF, celiac, DM), infant botulism, lead toxic, anorexia

38
Q

Where is the Meckels diverticulum commonly located?

A

Anti mesenteric border of ileum

39
Q

“Coil spring sign” on air contrast associated with?

A

Intussusception

40
Q

“Target sign” on abdominal US ?

A

Intussusception

41
Q

Classic Intussusception triad?

A

Bilious emesis, abdominal mass, and blood per rectum (20%)

42
Q

Most common Intussusception location?

A

Terminal ilium into the proximal bowel

43
Q

“String sign” on upper GI contrast ?

A

Pyloric stenosis

44
Q

Highest sensitivity test for pyloric stenosis?

A

Ultrasound

45
Q

“Olive” palpable just right above the umbilicus?

A

Pyloric stenosis

46
Q

Proposed pathology of pyloric stenosis?

A

Failed migration of neural crest cells leading to inability to relax = hypertrophy

47
Q

anterior Chapman point for stomach acid?

A

IC BTW rib 5 and Rib 6 close left to sternum

48
Q

Anterior Chapman point for stomach motility?

A

IC space Rib 6 and Rib 7 left to sternum

GEM (31 decks)

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