disorders of umbilicus and abdo wall in children Flashcards
1
Q
Sx of umbilical infections
A
omphalitis
- periumb. erethyma
- purulent drainage
- bact
2
Q
risk factors for infections (3)
A
- home deliv.
- low birth weight’
- umbil. caths
3
Q
3 treatments
A
- local - warms soaks and topical ABs
- ABs
- surgcal drainage and debridement - rare
4
Q
def. umb. gangrene/nec. fasch
A
- spreading erethyma, bloody disharge, purpura
- first 2 weeks of life
- high mortality
5
Q
treatment
A
- radical exision and debridment
6
Q
def. umbilical granuloma
A
benign granulation tissue
- present after cord separation
7
Q
presentation of umb. grauloma
A
- mass
- chronic drainage
- skin irritation
8
Q
3 treatments for granuloma
A
- silver nitrate
- excision
- look out for intestial mucosa
9
Q
*what’s in the cord
A
2 As
1 V
10
Q
what does 2 arteries become and patent or obliterated
A
patent
- medial umbilical folds
11
Q
what does umb vein become and patent or obliterated
A
patent
- ligamentum teres and falciform ligament
- to ductus venosus
12
Q
what does urachus/allantois become and patent or obliterated
A
obliterated
- median umbilical ligatment
13
Q
what does OMD/vitelline duct become and patent or obliterated
A
obliterated
- none
14
Q
6 possible OMD remnants
A
- umbilical mucosal remnant (sinus/polyp)
- OMD cyst
- meckels (most common)
- fistula
- omphacoel band
- vitelline vessel remnant
15
Q
effects of OMD remnants
A
hemmorage
- obst
- imflammation
- umbilical sxs
- neoplasm
