GI

Question 1

what 2 dx tools are used to dx pyloric stenosis

what do u see on both

Answer 1

USS - single bubble (olive sized mass)

bloods - high ph, low k, low cl (metabolic alkalosis)

Question 2

what surgical tx is used for pyloric stenosis

Answer 2

non urgent pyloromyotomy

Question 3

how would you dx cong diaph hernia?

Answer 3

CXR

Question 4

what is auscultated in CHD? (2)

Answer 4

• bowel sounds in chest

- displaced apex beat

Question 5

what 2 symptoms do pt with duodenal atresia present with?

Answer 5

nausea + vomiting
bloating
abdo cramps

Question 6

how dx duodenal atresia?

what sign is seen?

Answer 6

AXR

double bubble sign

Question 7

what thickening agent may be given to pt with PPI?

Answer 7

carobel

Question 8

what GI cx does downs syndrome have a ^ chance of developing? (3)

Answer 8

duodenal atresia
GORD
coeliac
hirchsprungs dz

Question 9

what is the main symptom of meckels diverticulum

Answer 9

asymptomatic

Question 10

what is seen in UC pt biopsy?

Answer 10

crypt abscess

Question 11

what eye cx do pt with UC have?

Answer 11

uveitis

Question 12

what is seen in crohns pt biopsy?

Answer 12

cobblestone

Question 13

what 3 dx tools = IBD?

Answer 13

• endoscopy
• biopsy
• fetal calprotein

Question 14

what is the initial UC mx?

Answer 14

Aminosalicylates

Question 15

what is given to more severe IBD?

Answer 15

Corticosteroids
Immunosuppressive drugs — thiopurines (azathioprine, mercaptopurine)
Biologic therapy

Question 16

when is bilious vomiting seen?

Answer 16

hirschsprung dz
intussusception
volvolus

Question 17

when is projectile vomiting seen?

Answer 17

pyloric stenosis

Question 18

how is hirschsprung dz dx?

Answer 18

no meconium (48h)
biopsy - no ganglionic cells
clinical - distended tummy

Question 19

how is hirschsprung dz tx

Answer 19

washout 
surgical correction (swenson)

Question 20

what is seen in stool of NEC pt

Answer 20

watery, bloody

Question 21

how is NEC dx and what is seen

Answer 21

AXR

gas cysts

Question 22

name 2 signs seen in intussusception pt?

Answer 22

knees up
pale
sausage shape mass
redcurrent jelly stools

Question 23

how is intussusception dx? what is seen

Answer 23

USS

donut sign

Question 24

what occurs in volvolus?

Answer 24

twisting of intestines

Question 25

how is volvolus dx? what is seen?

Answer 25

AXR

coffee bean sign

Question 26

if gastroschisis or exomphalos is dx what is seen in the blood?

Answer 26

^ AFP

Question 27

if gastroschisis or exomphalos is dx, what should be planned

Answer 27

CS 37wks

Question 28

what surgery is used for NEC?

Answer 28

laparotomy

Question 29

what surgery is used for intuss.

Answer 29

pneumatic reduction under fluoroscopic guidance