Ch 23 ATI Flashcards
How does a cleft lip form? [CL]
From the incomplete fusion of the oral cavity during intrauterine life.
how does a cleft palate form? [CP]
From the incomplete fusion of the palates during intrauterine life.
What nutrient can cause CP/CL
folate deficiency
When is a Cleft lip repaired?
usually between 2-3 months
When is a cleft palate repaired
Usually between 6-12 months, will require a followup surgery though.
GER and GERD
Gastric contents reflux back into the esophagus.
Usually resolves by 1 yoa
GERD is tissue damage from GER
Diagnostic procedures for GER and GERD
24 hour intraesophageal ph study
Endoscopy for structural abnormalities
Foods to avoid with GER
caffiene
cirtrus
peppermint
spicy or fried foods
Medications for GERD
omeprazole
esomeprazole
rabeprazole
pantoprazole
Complications of GERD
Pneumonia
Weight loss
Hypertrophic pyloric stenosis information and cause
Thickening of the pyloric sphincter
Occurs within first few weeks of life.
Caused by genetics
Expected findings of HTPS
Olive-shaped mass, a manifestation of dehydration.
Hirschsprung’s disease information
A structural anomaly of the GI tract caused by a lack of ganglionic cells
results in decreased motility and mechanical obstruction
Hirschsprungs disease manifestations
Undernourished anemic apperaence
Abdominal distension
Visible peristalsis
ribbonlike stool
constipation
Diagnosis of Hirschsprung’s
Either rectal biopsy to determine the absence of ganglion cells or CBC/blood electrolyte
