Gastro - vomiting Flashcards
What is posseting
bringing up small amounts of milk with swallowed air
what is regurgitation
bringing up larger losses than posseting
what is vomiting
forceful ejection of gastric contents
what does bile stained vomit suggest?
intestinal obstruction
what does haematemesis suggest?
peptic ulcers, oesophagitis, varices bleed
projectile vomit in early life - what?
pyloric stenosis
abdominal distension and vomit - ?
abdominal obstruction
vomit and hepatosplenomegaly = ?
chronic liver disease
inbuilt error of metabolism
blood in stool and vomiting
intussusception
bacterial gastroenteritis
dehydration/shock and vomiting = ?
gastroenteritis
UTI
meningitis
DKA
bulging fontanelle, seizures, vomiting =?
raised ICP
faltering growth and vomiting = ?
GORD
coeliac
other GI diseases
Gastro oesophageal reflux - is it rare or common?
common
What makes GOR GORD
faltering growth
oesophagitis
recurrent aspiration of vomit
Sandifer syndrome (adopting dystonic postures)
who is more likely to get GOR/GORD
CP
preterms
post upper GI surgery
investigation for GORD
24 hour oesophageal pH monitoring
GORD treatment
thicken feeds
ranitidine
omeprazole
pyloric stenosis symptoms
projectile vomiting hungry until dehydrated gastric peristalsis can be visible pyloric (olive) mass palpable hypochloraemic metabolic alkalosis low sodium low potassium
how old and what gender are kids with pyloric stenosis?
2-8 weeks old
4boys :1 girl
pyloric stenosis treatment
correct hydration and electrolytes
then surgery: pyloromyotomy
test to confirm pyloric stenosis?
ultrasound
