Diarrhoea and vomiting Flashcards

1
Q

Mechanical causes of vomiting

A

Proximal valve defect
Over filling of stomach
Obstruction

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2
Q

Local causes of vomiting

A

GI infection

GI intoxication

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3
Q

Systemic causes of vomiting

A
Infection
Pyrexia
Raised ICP
Metabolic disease
Intoxication
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4
Q

Acute causes of diarrhoea

A

Gastroenteritis
Abx
Toxins
Systemic infection

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5
Q

Categories of chronic diarrhoea

A
Non pathological
Malabsorption
Inflammation
Infection
Other - overflow in constipation
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6
Q

Non pathological causes of chronic diarrhoea

A

Toddler diarrhoea

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7
Q

Malabsorption causes of chronic diarrhoea

A

CF
Coeliac
Lactose intolerance

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8
Q

Inflammation causes of chronic diarrhoea

A

Crohn’s
Cow’s milk protein intolerance
UC

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9
Q

Infective causes of chronic diarrhoea

A

Giardia

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10
Q

Complications of vomiting

A
Dehydration
Acid base imbalance
Electrolyte imbalance
Distress
Infectious risk
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11
Q

Definition of mild dehydration

A

< 5%

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12
Q

Definition of moderate dehydration

A

5%

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13
Q

Definition of severe dehydration

A

10%

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14
Q

Signs of mild dehydration

A

Generally normal

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15
Q

Signs of moderate dehydration

A
Drowsy
Normal skin colour
↓ skin turgor
Slightly sunken fontanelle
Slightly sunken eyes
Oligouria
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16
Q

Signs of severe dehydration

A
May be unconscious
Mottled/pale
↓↓ skin tugor
Depressed fontanelle
Sunken eyes
Anuric
17
Q

GORD

A

Common

18
Q

Mx of GORD

A
Elevation of cot
Frequent feeds
Feed thickeners
Antacids
Surgery
19
Q

Presentation of pyloric stenosis

A
Projectile vomiting after feed
Hungry after vomiting
Constipated
Palpable "olive" mass
Failure to thrive
20
Q

Mx of pyloric stenosis

A

Rehydration - resolves with age

Ramstedt’s pyloromyotomy - if severe

21
Q

Hormones stimulating gastric secretion

A

ACh
Histamine
Gastrin

22
Q

Hormones inhibiting gastric secretion

A

Somatostatin

23
Q

Dysentery def

A

infectious diarrhoea