GI Flashcards

1
Q

Hyperbilirubinemia

A

Conjugated:

  • ALWAYS PATHOLOGIC
  • biliary atresia tx tplant
  • Dubin-Johnson
  • galactosemia

Unconj:

  • benign (physiologic peaks 2-3 days, breast milk 3-5 days peaks 2 weeks)
  • breastfeeding failure (1st wk, dehydration)
  • hemolysis if high in first 24 h
  • Gilbert
  • Crigler-Najjar
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2
Q

Pyloric stenosis

A

First born boys 1-2 mo erythromycin
Nonbilious vom
Dx abd us
Tx myotomy

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3
Q

Intussusception

A
<2 peyer patches
>2 meckels (dx tec99 ectopic gastric mucosa, 
Painless hematochezia)
Dx us target sign
Tx air enema
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4
Q

Volvulus

A

Malrotation, bilious emesis
Unstable go to surg
Stable 1) Ng decomp —> 2) IVF —> 3) XR r/o pneumoperitoneum gasless abdomen —> 4) upper GI series=barium swallow corkscrew, then surg
Ligament of treitz on the R

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5
Q

Choanal atresia

A

Cyanosis better w crying worse w feeding

CHARGE = coloboma (hole in the eye) Heart atresia retardation growth/dev ear

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6
Q

Vitamin deficiencies

A

B1 thiamine beri beri (heart wet muscle weakness dry) wernicke
B2 riboflavin derm glossitis chelosis stomatitis normocytic anemia
B3 niacin pellagra derm PHOTOSENSITIVE RASH dementia/depression, diarrhea, death
B6 pyridoxine RARE like B2 + personality changes
B9 folate
B12 cobalamin
C scurvy
A eye probs, rash ext surfaces
D rickets

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7
Q

Milk protein allergy

A

2-8w
Eczema
Hematochezia
Usually resolved by 1y

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8
Q

Necrotizing enterocolitis

A

XR air in bowel wall, hep portal vein, preemies, congenital heart defects/hypotension (poor perfusion)

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9
Q

Too high Tbili

A

> 17, phototherapy, if it doesn’t work transfusion

HEARING LOSS

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10
Q

Galactosemia

A

First few days of life before NBS results, jaundice, vomiting, hepatomegaly

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