GI Flashcards
mesenteric adenines
causes central abdominal pain typically after an URI
when does hirschsprungs usually present
neonatal period but can present later in childhood
classic signs of intusseception (mcps)
child DRAWS UP LEGS colicky pain intussecption bile stained vomitting PALLOR red current jelly stools sausage shaped mass (may also feel a mass on rectal exam)
common location for intusseption
iliocecal valve
classic sign on imaging for intusseption
TARGER SIGN
age for intusseption
abdominal migraine
anywhere from 2 months - 2years
midline abdopinal pain assoc with migrain symptoms , CHILD IS PALE , tx antimigraine medciation, usually fH is strong
what does red current jelly indicate
rectal bleeding
risk factor for intussception
mockers
HSP
luminal polyps (eg Peutz Jegher Syndrome)
recent rotavirusvaccinaiton
complication of intussception
hyppvelic SHOCK
peritonitis etc
common cause of gastroenteritis is
Rota virus but also adenovirus, norovirus etc
and in bacteria its campylobacter jejuneni
parasites: giardiasis
protocol for gastroenteritis
no signs of dehydration : encourage fluid intake
signs of clinical dehydration:(5-10%) start with ORS, and if no improvement then give IV FLUIDS 0.9% with or without 5% glucose but over 48 h to limit cerebral edema
signs of shock >10% - IV
LOpermainde
is a drug to stop diarrhoea
is there a prophylaxis for gastroenteritis
there is a vaccine for rotavirus
do we give antibiotics in gastroenteritis
not usually unless we know the agent and if the baby is <6 mo, immunocompromised
dumping syndrom
some sort of surgery on stomach
divide into GI + VASOMOTOR SYMPTOMS
GI - explosive diarrhoea, early satiety , crampy abdominal pain
vasomotor- sweating, flushing, dizzy, intense desire to lie down
tx- divide meals into 6 , limit drinks with food
avoid simple sugars, milk
