gastroenterlogy Flashcards
why does GORd occur in 8 weeks old?
immaturity of the gullet leads to food coming back the wrong way
quite common
effects of liver cell failure
A-J
astrexis
bruising
clubbing
erythema
dupuytren’s contracture
erythema
fetor hepaticus
gynaecomastia
have portal htn
itching
jaundice
spider naevia and testicular atrophy
scalloping of mucusa
coeliac disease
cuts within mucusal folds due to atrophy
which heb B antigen kills the virus?
hep b surface antigen
threadworm species?
mx?
enterobius vermicularis
mebendazole
intestinal malrotation features?
high caecum in midline
associated with exomphalos
conegnital diaphragmatic hernia
intrinsic duodenal atresia
hirschsprungs disease
absence of ganglion cells from myenteric and submucosal plexuses
delayed meconium
necrotizing enterocolitis
haemorrhagic inflammation of intestinal wall - premature infants
abdo distension
gastric retention
tendernes
rectal bleed
what xray finding confirms necrotizing enterocolitis?
gas within wall of intestine known as pneumatosis intestinalis
what is the most common cause of acute abdomen in premature infants?
NEC
why does necrotising enterocolitis occur?
motility issue and perfusion
underdeveloped immune system
microbial overgrowth
formula feeding
rapid increase in enteral nutrition
how to ix necrotising entercolitis?
bloods
complete blood count
neutrophil counts <1500
increased inflammatory markers
metabolic acidosis
blood culture
how to ix necrotising entercolitis?
imaging?
abdo xray - bubbles of gas
dilated intestinal loops
air fluid levels
USS
mx of necrotising enterocolitis
stop oral feed
TPN
NG tube
Iv abx: cafotaxime and vancomycin
IV fluids
surgery
