Gastroenterology Flashcards
Risk of hypertrophic pyloric stenosis is increased with intake of this drug in neonatal period
Macrolide
Blunting of microvilli can be caused by what E coli diarrhea agent
EPEC
DOC for campylobacter
Macrolides
DOC for EIEC
Co-trimoxazole
DOC for shigella
Ciprofloxacin
Ampicillin or Co-trimoxazole if susceptible
Treatment for non-typhoidal salmonella
Ampicillin or co-trimoxazole or chloramphenicol
Biliary atresia vs neonatal hepatitis: prematurity
NH
Biliary atresia vs neonatal hepatitis: bile stained duodenal aspirate
NH
Biliary atresia vs neonatal hepatitis: hepatomegaly always present
BA
If foreign bodies (coin) is present in the esophagus, the flat surface of the coin is seen in what view?
AP
edge on lateral view
Necrosis due to alkali ingestion
Liquefactive
Necrosis due to acid ingestion
Coagulative
In caustic ingestion, dilution with milk is recommended. True or false?
True
X-ray finding of ground glass appearance in the RLQ with trapped air bubbles
Meconium ileus
Shoulder sign and double tract sign in barium swallow
Pyloric stenosis
Surgical procedure for pyloric stenosis
Ramstedt pyloryotomy
In duodenal atresia, obstruction is proximal or distal to ampulla of vater?
Distal
Duodenal atresia is associated with polyhydramnios or oligohydramnios?
Polyhydramnios (failure of absorption of amniotic fluid in the distal intestine)
Failure of the cecum to move into the RLQ
Malrotation
Cork-screw sign
Malrotation
Meckel diverticulum is a remnant of
Omphalomesenteric duct
Most frequent congenital GI anomaly
Meckel’s diverticulum
Arrest in the migration of neuroblast from proximal to distal bowel
Hirschprung disease
Gold standard diagnostic for hirschprung disease
Rectal suction biopsy
Other: rectal manometry
Intussusception is correlated with what virus?
Adenovirus
Most common cause of intestinal obstruction between 3 mos to 6 yrs old?
Intussusception
Currant jelly stools
Intussusception
Severe paroxysmal colicky pain that recurs at frequent intervals with straining efforts; patient doubles up with loud crying
Intussusception
Palpation of sausage-shaped mass in the RUQ
Intussusception
Coiled spring sign on barium enema
Intussusception
Ultrasound finding of doughnut or target sign
Intussusception
Chronic diarrhea has a duration of
> 14 days
Treatment plan B for dehydration
75 cc/kg ORS PO for 4 hours
Treatment plan C for dehydration
100 cc/kg pLR
1st 30 : 1st hour
Next 70 : 5 hours for infants; 2.5 hours for children
E. Coli diarrhea in nurseries and daycare
EPEC
