GI Bleeds OME

Question 1

baby with bloody diarrhea and “pneumatosis intestinalis” on xray. dx? tx?

Answer 1

Necrotizing Enterocolitis

tx: NPO, TPN, IV Abx

Question 2

what peds population would you see anal fissures in?

Answer 2

children or teens with a history of constipation = tear anal mucosa. or those with IBD

Question 3

Sx of Intussusception

Answer 3

abrupt onset of colicky abdominal pain, knee to chest position, sausage shaped mass in abdomen, currant jelly diarrhea

Question 4

how do you dx intussusception?

Answer 4

U/S to look for it

Question 5

How do you dx intussusception if you have a really high suspicion of it? what else is this good for?

Answer 5

Air-contrast Barium Enema = also used to cure intussusception bc air will push out bowel. If this doesnt work then surgery will be needed

Question 6

Is meckels diverticulum a true or false diverticulum?

Answer 6

true!

Question 7

What are the rules of 2 for meckels diverticulum?

Answer 7

<2 yo, 2x MC in males, 2 inches in length, 2 feet from ileocecal valve, 2% of the population

Question 8

How do you check to see if the bloody stool is blood from mom baby swallowed or an actual GI bleed?

Answer 8

Apt test

Question 9

baby with bloody diarrhea + fever. dx? tx?

Answer 9

infectious colitis(salmonella, E.Coli, Yersinia, Shigella, etc)

tx: hydration + electrolytes

Question 10

Kid whose 6 months of age presents with FFT and hematochezia + some IgE symptoms…what are you thinking this could be? what could you do to fix it?

Answer 10

Milk-Protein Allergy

!switch to hydrolyzed formula! = bloody diarrhea will resolve

*usually outgrow around age 2-3