bowel obstruction in the neonate Flashcards
1
Q
what is meconium ileus
A
obstruction of the bowel due to abnormally thick meconium
2
Q
which condition is meconium ileus associated with
A
cystic fibrosis
3
Q
meconium ileus presentation
A
- yellow, frothy vomit
- failure to pass meconium within 48 hours
- doughy abdomen
4
Q
meconium ileus diagnosis
A
abdominal x-ray showing narrow colon with large distended loops of small bowel
5
Q
meconium ileus management
A
- conservative: washout enema and nasogastric tube
surgical: removal of impacted bowel
6
Q
what is jejunal atresia
A
- congenital abnormality of the small bowel
- jejunum doesn’t form into a continuous tube, but instead two blind ended sacs
7
Q
jejunal atresia presentation
A
- vomiting
- failure to pass meconium
8
Q
jejunal atresia diagnosis
A
abdominal x-ray shows few bowel loops with distended proximal small bowel
9
Q
jejunal atresia management
A
surgical correction
10
Q
inguinal hernia can cause
A
bowel obstruction via externa compression
11
Q
inguinal hernia diagnosis
A
- clinical diagnosis
- inguinal mass proximal and superior to pubic tubercle
12
Q
inguinal hernia management
A
surgical emergency
