Child health- Gastroenterology issues Flashcards

1
Q

common causes of projectile vomiting in infants

A

pyloric stenosis
motility issues, gastroparesis
allergy or intolerance

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2
Q

define vomiting

A

forceful expulsion of gastric contents…

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3
Q

risks of vomiting in children and infants

A

dehydration
potassium levels deranged
growth stunting

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4
Q

common/important causes of vomiting in neonates

A

malrotaion/volvulus

Hirschsprung disease/ medconium ileus

NEC

Infection

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5
Q

common/important causes of vomiting in infants

A

GORD

Food intolerances

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6
Q

determine between GOR and GORD

A

GOR
- passage of

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7
Q

how is GORD investigated in children

A
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8
Q

how is GORD managed in children

A
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9
Q

why should babies not be placed lying on their front?

A

Sudden infant death syndrome

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10
Q

Cows milk protein allergy

A

most common allergen
associated with atopy, IgA deficiency and IgG subclass abnormalities

gut, skin, chest

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11
Q

common/ important causes of vomiting in older children

A

acute appendicitis …

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12
Q

when should constipation have further investigations

A
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13
Q

diagnosis of functional constipation (ROME criteria)

A

two or fewer defecations per week

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14
Q

management of constipation

A

bulking agents

osmotic laxatives

stimulants

enemas

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15
Q

what is the most common cause of acute diarrhoea

A

infections!

viral most predominant

take a good travel Hx for funny bugs

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16
Q

other treatments for diarrhoea

A

antibiotics

probiotics

no antiemetics/anti motility drugs

17
Q

differential diagnosis in adolescents of IBD

A

general characteristics:
- weight loss, abdo pain, D+
-peri anal involvement (anal tags, fistula (crohns))
-positive family history

Lab findings:
-anaemia, hypoalbuminaemia, elevated CRP and ESR

Evaluation:
- upper endoscopy and colonoscopy for diagnosis
- small bowel imaging with MRI or small bowel follow through

treatment
-Anti inflam meds
- immunosuppressants
-Biologics
-Surgery

18
Q
A