GI Flashcards
typical age of PS
main points and cause and key ABG findings and signs
tx
6- 8 weeks /2 months
not sure but increased risk
-males, premature, family history, use of erythromycin, hypergastrinemia
CAn HAVE JAUNDICE - due to decreased enzyme activity (indirect )
ULTRASOUND findings
thickness >3mm
hypertophic pyloric sphincter
its progressive so symptoms will get worse over time
postprandial vomiitng so baby still hungry
olive shaped mass in RUQ/epigatrium
peristalitc waves moving from L to R
increased gastric bubble on x ray as GOO
hypochloremic metabolic alkalosis
tx- pylomyotomy but if CI then endoscopic baloon dilation
shoulder sign - us
string sign - barium
chronic non specific diarrhoea
6m - 5 years
children are well and thriving
colicky pain
stools can contain undigested food and mucous
loose stools are not due to malabsorption
stools are not always due malabsorption
diagnosis of chronic non specific
most common location for intussception and epidemiology and signs and tx
stool samples
ilio colic and more common in males and mostly under age of 2
target sign
air reduction or barium (air is better)
asses anthropemterics
tx of chronic non specific
diet changes - increase fat and decrease milk/fruit juice and sugary drinks
chroens disease other general symptoms
fever fatigue
delayed puberty!! (LIKE OTHER CHRONIC INFLMAMATORY DISEASES LIKE juveanille atrhitis, CF)
extraintetsinal thrones
eyes uveitis skin tags fistulas ]mouth ulcers arthirits erythema nodsusm
diagnosis of IBD
labs
Endoscopy labs are not enough
fecal calprotectib
PANCA, ASCA, ANA
labs: inflammatory markers,, leukkocytosis, thrombocytosis
specific antibodies for chrones
panca -
asca +
specific antibodies for UC
panca +
aSca -
tx thrones
polymeric diet (liquid diet ) also called whole protein modular feed to rest uur good for 6- 8 weeks
aminosalicylates
TX FOR giardiaasis
used specifically for UC
metronadizole
breast fed baby poo vs formula
yellow
more runny compared to formula
seedy
don’t poop as frequently
organic causes of constipation
hypocacemia
dehydration - diabtes
hypothyroidism
drugs- anticholinergics + opiates
treatment of constipation
disimpaction
stool softeners- polythene glycol
laxative - lactulouse
last resort - enerma
why would u do RAST test for chronic cosntipation
check if its allergies causing
features for galactosaemia
Hepatomegaly brain damage retardation jaundice cataracts
diagnosis of galactosemia
galactose in urine
low levels of galactose 1 phosphate urdidyl transferee