GI

Question 1

• Non-bilious, projectile vomiting, yet pt remains hungry, 6-8wks old.
• Olive like mass
• Surgical fix

Answer 1

Pyloric Stenosis

Question 2

-Cramping abd pain, distention, n/v/obstipation
Dx: AXR (bird’s beak)
Twisting of bowel on self, emergency to prevent ischemia

Answer 2

Volvulus

Question 3

-Congenital lack of innervation of colon, Atresia, constipation, surgical resection of affected bowel

Answer 3

Hirschprung Dz

Question 4

• Seen almost exclusively in children following viral infx.
• Severe colicky pain. Stool (if passed) with mucus and blood (CURRANT JELLY). Sausage-like palpable mass.
• Dx/Tx: Barium or air enema

Answer 4

Intussusception

Question 5

• Begins distally (rectum) moving proximally. Gradual onset.
• Sx: Tenesmus, bloody, puss filled diarrhea
• Dx: Colonoscopy
• Tx: Corticosteroids, surgical resection

Answer 5

Ulcerative Colitis

Question 6

• Regional enteritis (but can involve any region; usually spares rectum).
• Sx: Abd cramping and diarrhea, low fever, polyarthralgia, fatigue, bloody stool.
• Dx: Colonoscopy
• Tx: Steroids, stop smoking
• Inflamm. bowel Dz with genetic predisposition.

Answer 6

Chron’s

Question 7

• Chronic, functional idiopathic disorder w/ no organic cause
• ABD pain w/ altered bowel habits (frequency or formation
• Tx: Lifestyle (stop smoking; decrease fat & unprocessed foods); symptom tx

Answer 7

IBS