From her notes

Question 1

vomiting & diarrhea & mild fever =

Answer 1

MC = gastroenteritis often via stomach flu
–common in kids 6m–>2yr
~ 24h –> 5days
–any other family members sick?

Question 2

Gastroenteritis Action Plan:

Answer 2

• -R/o serious problem/ parasite (stool or vomit)
• -avoid eat/drink for few hours after vomitting stops.
• -electrolyte solution
  (pedialyte) signs: dry mucous, sunken anterior fontanelle, crying w/o tears, scant urination
• -call MD if: fluids don’t stay down, diarrhea for >12h, signs of dehydration

Question 3

infant has persistent vomiting after nursing

Answer 3

–especially if projectile vomiting = maybe pyloric stenosis (~1st wk of life)
–MC in 1st born boy
TRIAD: projectile vomit, visible peristalsis, palpable mass
–Dx: Abdominal U/S
–Urgent referral to MD for surgery: laparoscopic pylorotomy

Question 4

vomiting after nursing/ a rash =

Answer 4

• -rash around mouth, neck, behind knees, elbows = allergy?

- -difficulty breathing = serious anaphylactic?

Question 5

vomiting & severe abdominal pain

Answer 5

• -appendicitis? inflammation of the appendix
• -Mc in kids over 10
• -pain starts around the belly button then over hours pain gets more intense –> RLQ
• -medical emergency

Question 6

constipation

Answer 6

Consider co-tx if:

• -infant has <3 BM/day-wk & appears to be in pain/cries
• -big change from their normal
• -baby is well; no signs of illness

Question 7

vomitting that is greenish-yellow =

Answer 7

bile obstruction

Question 8

vomiting & constipation =

Answer 8

obstruction? intussusception?

Question 9

congenital torticollis

Answer 9

• -deformity in infancy.

- -

Question 10

most common orthopedic problems…

Answer 10

1) clubfoot
2) DHD
3) torticollis