GI Flashcards
When to consider Peptic ulcer disease
3
epigastric pain, particularly
if it wakes them at night, if the pain radiates through the back, or when there is a history of peptic ulceration in a first-degree relative.
DDx for bile-stained vomits 3
intussusception,
malrotation or strangulated inguinal hernia
DDX for Haematemesis 4
Oesophagitis, peptic ulceration, oral/nasal bleeding,
and oesophageal variceal bleedin
Child with vomiting and Hepatosplenomegaly DDX 2
Chronic liver disease, inborn error of metabolism
Child with vomiting and Blood in the stooln3
Intussusception, bacterial gastroenteritis, inflammatory
bowel disease
Child with vomiting and Faltering growth
Gastro-oesophageal reflux disease, coeliac disease
When to Say it’s GERD 5
Faltering growth from severe vomiting
* Oesophagitis – haematemesis, discomfort on feeding or heartburn, iron-deficiency anaemia
* Recurrent pulmonary aspiration-recurrent pneumonia, cough or wheeze, apnoea in preterm infants
* Dystonic neck posturing (Sandifer syndrome)
* Brief resolved unexplained events (apparent life-threatening events)
GERD is more common in 5
cerebral palsy or other
neurodevelopmental disorders
* preterm infants
* following surgery for oesophageal atresia or
diaphragmatic hernia
* obesity
* hiatus hernia.
Children with GE are at increased risk of dehydration:
*infants, particularly those under 6 months of age or those born with low birthweight
* if they have passed five or more diarrhoeal stools large amount in the previous 24 hours
* if they have vomited more than twice in the previous 24 hours
*if unable to tolerate supplementary fluids
* if they have malnutrition or immune deficiency
ORS contains
glucose
Na
K
Cl
HCO3
Osmo.
glucose 2.5g/100mL
Na 75mEq/L
K 20 mEq/L
Cl 65
HCO3 30
Osmo. 305. mOsm/L
