Gastrointestinal Flashcards
Where do neuroblastomas originate from?
The adrenal glands on the kidney
What are two bacteria that cause gastroenteritis?
Salmonella, campylobacter, shigella, E coli
Which signs or symptoms are associated with vitamin deficiency or malabsorption?
palor, fatigue, hair changes, cheilosis, peripheral neuropathy
What is the first line medical management of GERD?
Histamine H2 receptor antagonists to inhibit gastric acid secretion such as pepcid or zantac
What causes 50% of all viral cases of gastroenteritis?
Rotavirus
what type of GERD is frequent with alteration and physical functioning such as failure to thrive and aspiration pneumonia?
Pathological
Is there a chronic carrier state with hepatitis A?
No No
What are the three C’s of gastroesophageal reflux disease?
Cough, choke, cyanosis
What age does intusseseption typically occur before?
Before 2 years of age
What is prescribed for hepatitis c?
Interferon and ribavirin
What type of GERD is infrequent, episodic, and explainable?
Physiological
What is done before medication use in referral in GERD?
Small frequent feelings, burp frequently, avoid formula changes, switch to a weighted formula or an AR formula, and elevate the head after feeding
How is hepatitis b typically transmitted?
Saliva, semen, vaginal secretions, other body fluids, and blood
Do children with hepatitis A turn yellow?
No, it is an anicteric disease
What are some signs or symptoms of hershprung’s disease?
Failure to pass meconium, infrequent or explosive bowel movements, progressive abdominal distention, tight anal sphincter
When is the olive-like mass palpable?
After vomiting
What is diagnostic of appendicitis?
Ultrasound
What laboratory finding is elevated in neuroblastoma?
Urine catecholamines
What does HBsAg, Anti-HBc, Anti-Hbe, IgM, IgE represent?
Chronic hepatitis B
If needing to treat gastroenteritis with an antibiotic what is the first drug of choice?
Trimethoprim/sulfamethoxazole
What percentage of dehydration is classified as severe dehydration?
Greater than 10%
Signs or symptoms of intussusception?
Acute and colicky pain, vomiting, sausage-shaped mass in the upper right quadrant
What is the serology for active verse recovered hepatitis A?
Anti-HAV IgM vs IgG
What type of GERD is painless, effortless, with no physical sequelae?
Functional
Fatigue, malaise, anarchy, headach e, aversion to secondhand smoke and alcohol odors are signs of what stage of hepatitis?
Pre-icteric stage
What is the second line medication management of GERD?
Proton pump inhibitors to block gastric acid secretion such as omeprazole
How is neuroblastoma typically found?
Large abdominal mass
What diagnostic study can also reduce the intussusception?
Barium enema