GI

Question 1

intussusception

Answer 1

telescoping of one bowel segment into adjacent segment
Symptoms:
-colicky abdominal pain, vomiting, bloody stools
-between episodes of pain, child is lethargy
-currant jelly stools (blood tinged stools mixed with mucus)
-child may draw knees towards chest

Triad:abdominal pain, palpable sausage shaped abdominal mass, blood per rectum

Fecal test: + blood, - leukocytes

US/plain film: target sign

Tx: reduction and diagnosis with air or saline enema

Question 2

juvenile polyp

Answer 2

painless rectal bleeding age 2-10

Question 3

chrohn disease

Answer 3

leukocytes and RBC present in stool

Question 4

tracheoesophageal fistula with esophageal atresia

Answer 4

features and treatment

attempt to place NG tube in , resistance confirms presence of esophageal pouch

Question 5

intussusception vs food protein induced proctocolitis

Answer 5

both have blood and mucus in stool but patients with intussusception ,
- vomit, abdominal pain, lethargy, irritable

Question 6

can breastfed baby develop food protein0induced allergic proctocolitis?

Answer 6

Yes, breast milk can contain milk proteins from maternal diet

management: have mom eliminate dairy from diet

Question 7

symptoms of fetal growth restriction includes

Answer 7

hypoglycemia, hypothermias hypocalcemia

polycythemia

Question 8

neonatal cholestasis evaluation

Answer 8

Question 9

HUS patho phys and triad
Hemolytic Uremic Syndrome

Answer 9

Caused bu EHEC
-bacterial cells damage endothelial cells, of glomerulus
-platelets gather at sites of damage causing platelet consumption (low platelets)
- RBC get damaged as they pass vasculature with clots

Clinical Triad: MIT
Microangiopathic hemolytic anemia
Impaired renal fxn
thrombocytopenia,

preschooler with diarrhea in passed 5-10 days + jaundice oliguria, petechia,