GI Flashcards
what 2 dx tools are used to dx pyloric stenosis
what do u see on both
USS - single bubble (olive sized mass)
bloods - high ph, low k, low cl (metabolic alkalosis)
what surgical tx is used for pyloric stenosis
non urgent pyloromyotomy
how would you dx cong diaph hernia?
CXR
what is auscultated in CHD? (2)
- bowel sounds in chest
- displaced apex beat
what 2 symptoms do pt with duodenal atresia present with?
nausea + vomiting
bloating
abdo cramps
how dx duodenal atresia?
what sign is seen?
AXR
double bubble sign
what thickening agent may be given to pt with PPI?
carobel
what GI cx does downs syndrome have a ^ chance of developing? (3)
duodenal atresia
GORD
coeliac
hirchsprungs dz
what is the main symptom of meckels diverticulum
asymptomatic
what is seen in UC pt biopsy?
crypt abscess
what eye cx do pt with UC have?
uveitis
what is seen in crohns pt biopsy?
cobblestone
what 3 dx tools = IBD?
- endoscopy
- biopsy
- fetal calprotein
what is the initial UC mx?
Aminosalicylates
what is given to more severe IBD?
Corticosteroids
Immunosuppressive drugs — thiopurines (azathioprine, mercaptopurine)
Biologic therapy
when is bilious vomiting seen?
hirschsprung dz
intussusception
volvolus
when is projectile vomiting seen?
pyloric stenosis
how is hirschsprung dz dx?
no meconium (48h)
biopsy - no ganglionic cells
clinical - distended tummy
how is hirschsprung dz tx
washout surgical correction (swenson)
what is seen in stool of NEC pt
watery, bloody
how is NEC dx and what is seen
AXR
gas cysts
name 2 signs seen in intussusception pt?
knees up
pale
sausage shape mass
redcurrent jelly stools
how is intussusception dx? what is seen
USS
donut sign
what occurs in volvolus?
twisting of intestines
how is volvolus dx? what is seen?
AXR
coffee bean sign
if gastroschisis or exomphalos is dx what is seen in the blood?
^ AFP
if gastroschisis or exomphalos is dx, what should be planned
CS 37wks
what surgery is used for NEC?
laparotomy
what surgery is used for intuss.
pneumatic reduction under fluoroscopic guidance
