Common Surgical Problems in Children

Question 1

What is a common cause of vomiting at 6 weeks?

Answer 1

Pyloric stenosis

Question 2

What is pyloric stenosis?

Answer 2

Thickened muscle through to the mucosa

Question 3

What is a sign of pyloric stenosis?

Answer 3

Exaggerated peristalsis

Question 4

What is a common cause of vomiting at 6 months?

Answer 4

Intussusception

Question 5

What is intussusception?

Answer 5

Bowel telescopes around itself

Question 6

What are the signs of intussusception?

Answer 6

Sausage shaped mass in abdomen
Target sign on ultrasound
Red currant faeces

Question 7

How is intussusception treated?

Answer 7

Blowing air into the colon through anus

Only surgical if perforated

Question 8

What is a common cause of vomiting at 6 years?

Answer 8

Peritonitis/appendicitis

Question 9

What are the symptoms of peritonitis/appendicitis?

Answer 9

Pyrexia, abdominal pain, vomiting

Pain is worst on movement

Question 10

What is the definitive treatment of appendicitis?

Answer 10

Remove appendix

Question 11

What is an important cause of vomiting bile?

Answer 11

Malrotation

Question 12

What is a common cause of malrotation?

Answer 12

volvulus

Question 13

What investigation should be done for malrotation?

Answer 13

Upper GI contrast

Question 14

3 causes of acute scrotum

Answer 14

Testicular torsion
Infection
Hydratid of morgagny (remnant of Mullerian duct)

Question 15

What is ballinitis xerotica obliterans?

Answer 15

Scarred foreskin

Question 16

What is paraphymosis?

Answer 16

Foreskin gets stuck behind the glans

Question 17

What is hypospadias?

Answer 17

the urethral oriface is in the wrong place