9: Peds GI Conditions

Question 1

This sign indicates which condition?

Murphy’s Sign

Answer 1

Gallbladder Disease

Question 2

What GI condition?

• Paroxysmal, episodic adb pain with vomiting q 5-30 minutes.
• Screaming with drawing up of legs.
• In between is calm, sleeping, or lethargic.
• Currant jelly stools.
• Distended and tender abd.

Answer 2

Intussusception

Question 3

This sign indicates which condition?

Markle Sign

Answer 3

Appendicitis (RLQ) Peritoneal Irritation/Peritonitis

Question 4

This sign indicates which condition?

Dunphy’s Sign

Answer 4

Appendicitis

Question 5

What GI condition?

• Spits up after feeds (non-bilious and usually projectile).
• Still hungry after vomiting.

Answer 5

Pyloric stenosis

Question 6

What GI condition?

• Symptoms come and go.
• Epigastric pain.
• Pain with eating.
• Awakened from sleep by pain.
• May have bloody stools or vomit.

Answer 6

PUD

Question 7

What GI condition?

• Spitting up after feeds.
• Pulling from bottle or breast.
• Feeding difficulty.
• Choking or coughing with feeds.
• Wheezing.
• Apnea.
• Poor weight gain.
• Frequent respiratory infections.

Answer 7

GER

Question 8

This sign indicates which condition?

McBurney’s Sign

Answer 8

Appendicitis

Question 9

What GI condition?

• Chronic diarrhea (may or may not be present.
• Excessive flatus, abd distention.
• Increased appetite, growth failure.
• Pallor, fatigue.
• Cheilosis, glossitis.
• Peripheral neuropathy.
• Food adversions.
• Delayed puberty.

Answer 9

Malabsorption Syndrome

Question 10

What GI condition?

• Periumbilical pain that peaks, subsides, and migrates to RLQ.
• Low grade fever.
• Vomiting after periumbilical pain.
• Pain may lessen later, but fever increases.
• Low volume, mucousy stools.

Answer 10

Appendicitis

Question 11

This sign indicates what condition?

Dance’s Sign

Answer 11

Intussusception

Question 12

What GI condition?

• Abd pain, diarrhea.
• Microcytic anemia.
• Skip lesions.
• Inflammation in the entire GI tract with penetration through multiple layers.

Answer 12

Crohn’s Disease

Question 13

This sign indicates which condition?

Rebound Tenderness (Blumberg’s Sign)

Answer 13

1. Appendicitis
2. Peritonitis

Question 14

This sign indicates which condition?

Rovsing’s Sign

Answer 14

Appendicitis

Question 15

What GI condition?

• Patient complains of abd pain that comes and goes.
• Has occurred 3x in the past few months.
• Feels fine between episodes.

Answer 15

Recurrent Abdominal Pain

Question 16

What GI condition?

Pebble-like bowel movements.

Answer 16

Constipation

Question 17

What GI condition?

• Hydration is the biggest concern.
• Fever with diarrhea.
• Possible bloody diarrhea.
• Treatment includes good handwashing, cooking meat and fish well.

Answer 17

Infectious Diarrhea

Question 18

What GI condition?

• Abd pain, bloody diarrhea.
• Inflammation in inner lining of colon.

Answer 18

Ulcerative Colitis

Question 19

This sign indicates which condition?

Obturator Sign

Answer 19

Appendicitis

Question 20

What GI condition?

• Vomiting Possibly diarrhea, abd pain, sensitivity to light, fever, dehydration.
• Seems to have a stomach bug, but it keeps coming back.
• Happens every few weeks.
• Similar onset, intensity and duration.
• Causing problems with missing school and inability to complete schoolwork.

Answer 20

Cyclical Vomiting Syndrome

Question 21

This sign indicates which condition?

Psoas Sign

Answer 21

Appendicitis