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* Paediatrics > Gastro - vomiting > Flashcards

Gastro - vomiting Flashcards

1
Q

What is posseting

A

bringing up small amounts of milk with swallowed air

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2
Q

what is regurgitation

A

bringing up larger losses than posseting

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3
Q

what is vomiting

A

forceful ejection of gastric contents

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4
Q

what does bile stained vomit suggest?

A

intestinal obstruction

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5
Q

what does haematemesis suggest?

A

peptic ulcers, oesophagitis, varices bleed

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6
Q

projectile vomit in early life - what?

A

pyloric stenosis

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7
Q

abdominal distension and vomit - ?

A

abdominal obstruction

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8
Q

vomit and hepatosplenomegaly = ?

A

chronic liver disease

inbuilt error of metabolism

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9
Q

blood in stool and vomiting

A

intussusception

bacterial gastroenteritis

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10
Q

dehydration/shock and vomiting = ?

A

gastroenteritis
UTI
meningitis
DKA

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11
Q

bulging fontanelle, seizures, vomiting =?

A

raised ICP

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12
Q

faltering growth and vomiting = ?

A

GORD
coeliac
other GI diseases

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13
Q

Gastro oesophageal reflux - is it rare or common?

A

common

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14
Q

What makes GOR GORD

A

faltering growth
oesophagitis
recurrent aspiration of vomit
Sandifer syndrome (adopting dystonic postures)

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15
Q

who is more likely to get GOR/GORD

A

CP
preterms
post upper GI surgery

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16
Q

investigation for GORD

A

24 hour oesophageal pH monitoring

17
Q

GORD treatment

A

thicken feeds
ranitidine
omeprazole

18
Q

pyloric stenosis symptoms

A 
projectile vomiting
hungry until dehydrated
gastric peristalsis can be visible
pyloric (olive) mass palpable
hypochloraemic metabolic alkalosis
low sodium
low potassium
19
Q

how old and what gender are kids with pyloric stenosis?

A

2-8 weeks old

4boys :1 girl

20
Q

pyloric stenosis treatment

A

correct hydration and electrolytes

then surgery: pyloromyotomy

21
Q

test to confirm pyloric stenosis?

A

ultrasound

* Paediatrics (22 decks)

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