disorders of umbilicus and abdo wall in children

Question 1

Risk factors associated with Omphalitis

Answer 1

• home delivery
• low birth weight
• umbilical catheters

Question 2

Treatment for Omphalitis

Answer 2

• warm soaks, topic Abx

- Surgical drainage - debridement - rare

Question 3

Spreading erythema, bloody discharge, tachycardia might be signs of

Answer 3

umbilical gangrene/NF

Question 4

Treatment for Umbilical gangrene/NF

Answer 4

• radical excision and debridement

Abx

Question 5

Classic features of an umbilical granuloma

Answer 5

granulation tissue

- eschar

Question 6

Treatment for an umbilical granuloma are

Answer 6

Silver nitrate
excision
check for mucosa!

Question 7

3 Bs connecting to the umbilicus

Answer 7

• Blood vessels
• bowel
• bladder

Question 8

Allantois becomes

Answer 8

Bladder

Question 9

Vitelline duct is the connection to

Answer 9

Bowel

Question 10

At birth how many arteries and veins?

Answer 10

2 umbilical arteries and

1 vein

Question 11

Umbilical artery associated with

Answer 11

Medial umbilical folds

Question 12

Allantois/urachus is associated with

Answer 12

Median umbilical ligament

Question 13

Umbilical vein

Answer 13

Ligamentum teres/falciform ligament

Question 14

which structures remain patent at birth

Answer 14

• Umbilical areries and vein

Question 15

2 types of tissue found in Meckel’s

Answer 15

• pancreatic

- gastric

Question 16

Most common OMD remnant is

Answer 16

Meckel’s diverticulum

Question 17

clinical manifestation of a urachal remnant

Answer 17

• urine
• pain
• infection

Question 18

Useful diagnostic test to look for urachal remnant

Answer 18

• ultrasound

- R/O bladder outlet obstruction

Question 19

Treatment for a urachal remnant

Answer 19

drain abscess

excision with closure of connection

Question 20

How common are umbilical hernias

Answer 20

75% of low birth weight infants