Gastrointestinal

Question 1

What is a diaphragmatic hernia?

Answer 1

Condition in which the bowel contents herniate into the chest, most common on left side. Also presents with hypoplasic left lung and pulmonary hypoplasia

Question 2

Management of diaphragmatic hernia?

Answer 2

• Avoid high airway pressure
• Maintain 02
• Avoid bag and mask ventilation to prevent over distention of intestines
• NGT to decompress stomach
• Arterial/central access
• stabilise until surgery

Question 3

What is oesophageal atresia with/without fistula?

Answer 3

Congenital anomaly in which the oesophagus ends in a blind pouch rather than connecting to the stomach.

Question 4

What does VACTERAL stand for?

Answer 4

• ventricular septal defects
• Anal (imperforate anus)
• Cardiac (VSD)
• Tracheal
• Renal
• Anomalies (chromosomal)
• Limb defects

Question 5

Symptoms of Oesophageal atresia?

Answer 5

Excess oral secretions
Abdo distension
Frothy, white bubbles in the mouth.
Coughing or choking when feeding.
Vomiting.
Blue color of the skin, especially when the baby is feeding

Question 6

Management of Oesophageal atresia/fistula?

Answer 6

Retogal tube
Continuous low suction
NBM

Question 7

What is Intestinal Atresia?

Answer 7

a malformation where there is a narrowing or absence of a portion of the intestine