Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Paediatrics > GI > Flashcards

GI Flashcards

1
Q

Differentials Abdominal Pain

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Neonatal Jaundice

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Jaundice Ix

A

Indications
1. 1st 24 hours of life
2. Elevated conjugated Br
3. Rapidly rising
4. Not responsive to phototherapy
5. > 2weeks old
6. Ill appearing

Ix
FBC
Blood film
Haemolysis screen - retics, LDH, haptoglobin, Coombs
Ill appearing - septic screen, BSL, urine, ammonia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Risk Factors for hyperbilirubinaemia

A
  • Premature < 37 weeks
  • Isoimmune mediated haemolysis
  • Sepsis
  • Acidosis
  • Cephalhaematoma
  • Dehydration
  • Genetics - Hereditary spherocytosis, G6PD
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Vomiting DDx

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Meckel’s Diverticulum

A
  • Congenital abnormality of the small intestine in 2% of the population
  • 2% symptomatic
  • 2 inches long
  • 2 feet from the ileocoecal valve
  • 2 types of ectopic tissue: gastric or pancreatic
  • 2:1 male preponderance

Cause = incomplete obliteration of omphalomesenteric duct

Presentations
* Obstruction
* Intussusception
* GI bleeding (ectopic gastric tissue)
* Anaemia 2 to GI bleeding
* Inflamation w/ fever, vomting, AP

Mx
Surgical resection
- diverticulum
- ileal segment if GI ulceration/bleeding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

HSP Clinical Manifestations

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

HSP Considerations for admission

A

Consider admission
* Serious abdominal complications
* Severe debilitating pain
* Severe renal involvement
- HTN, proteinuria, impaired renal function
- Nephrotic or nephritic syndrome
* Neurological or pulmonary involvement
* Prednisolone treatment initiated
* Dvpt HTN, proteinuria or macroscopic haematuria

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Dehydration Severity Assessment

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Dehydration Asessment
High Risk Features

A

Take Hx re intake/ouptut/losses
Recent use of hyper/hypotonic fluids

Risks for severe dydration
* < 6 months
* GI Pathology
* CF
* Metabolic disorders
* Renal impairment / diuretic use

Dehydration => high risk for child
* Complex / cyanotic HD
* Slow wt gain
* Immunocompromised
* Post-organ Tx
* Nephrotxic medications

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Rapid NG Rehydration

A

Indications: mod dehydration, expedite clinical improvement with aim to discharge home

NG insertion
ORS 10-25mls/kg/hr (4-10% deficit) for 4 hours

CI
Severe dehydration
Resp or CNS illness
Sig electrolyte abnormalities
< 6 months
Sig comorbidities
AP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Slow NG rehydration

A

Indications: mod dehydration when large fluid vol not desired

First 24hrs
5% deficit over 6 hrs, then full maintenance over 7-24 hrs

Next 24 hrs
Replace deficit if still indicated + maintenance volume

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Midgut malrotation

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

NEC

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Intusussception

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

GI bleeding

A
17
Q

GI bleeding neonates vs adults

A

Paediatrics (12 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions