abdomen Flashcards
correct placement of UAC
low or high
ow - L3-L5 or
high - T8-T10
“8 is great, 9 is fine”
what time frame do you see hypertrophic pyloric stenosis?
3 wk to 3 months
2 month old
criteria for HPS
4 mm thickness and 14 mm long
2 year old
intussuception < 2.5 cm
small bowel - small bowel intussusception
does NOT get an air enema
intussuception > 2.5 cm
illeocolic intussuception
DOES get an air enema
(pressure cannot exceed 120 mmHg)
contraindications to an air enema
free air (check the plain film)
peritonitis (based on physical exam)
air enema pressure should not exceed:
120 mmHg
mechanism of duodenal atresia
failure to cannulate
mechanism of jejunal atresia
vascular insult (clots)
associated with multiple atresias
double bubble is associated with
T21, duodenal atresia
malrotation
fatty wall = artery and should be on the same side of the aorta
SMV should be on the same side as the aorta
bilious vomiting, next step?
midgut volvulus –> UGI
SURGICAL EMERGENCY!
non bilious vomiting, next step?
Hypertrophic pyloric stenosis –> US
difference between meconium plug syndrome and meconium ileus?
meconium plug syndrome = Diabetic mom or mom who got mag sulfate (eclampsia)
Meconium ileus = CF
sawtooth = mucosal spasm
babies with no asshole (imperforate anus), next step?
screening US for tethered cord
when do you do a meckel scan?
when the patient is not bleeding
if a meckel diverticulum patient is bleeding, what scan do you do?
tagged RBC scan
Who gets necrotising enterocolitis?
bowel most commonly affected by NEC?
right lower quadrant - terminal ileum and right colon
