General Flashcards
What is on the differential for RLQ abd. pain aside from appendicitis?
Mesenteric lymphadenitis, volvulus, obstruction
What is mesenteric lymphadenitis?
Dunno
What is the reason for paradoxical aciduria in pyloric stenosis?
B/c dehydrated, Na+ exchanged for H+ in kidneys.
What is the surgical correction for pyloric stenosis?
Pyloromyotomy
Most common Site of intussusception.
Terminal ileum into cecum
Stool description in intussusception
Currant jelly
Clinical picture of intussusception.
Waves of severe restlessness and crying interrupted by periods of severe apathy.
Best Dx test for intussusception.
US
US finding in intussusception.
Pseudokidney, target sign.
Tx of intussusception.
Hydrostatic reduction
When do you operate intussusception?
Failure of hydrostatic or pneumatic reduction, perforation, shock
What is the pathology of most adult intussusception or many recurrent pediatric cases?
“Leading point”, e.g. Meckel’s diverticulum, polyp.
Baby with bilious vomiting and severe pain may be a sign of what emergency?
Midgut volvulus
What x ray findings may be seen in midgut volvulus on barium swallow?
Corkscrew; double bubble
Define failure to thrive.
Below 3rd percentile or dropping (crossing 2 growth curves)
