Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Pediatrics > GI Book > Flashcards

GI Book Flashcards

1
Q

is the GI system is immature at birth

A

yes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what is sucking before 6 weeks

A

primitive reflex

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

when do you develop the voluntary control of swallowing

A

6 wks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

who has increases peristalsis

A

newborn

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

is the stomach size small in the newborn

A

yes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

increase peristalsis and small stomach size in the newborn contribute to

A

small frequent feedings
increase frequency of BM and liquid consistency

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

why do you get regurgitation

A

relaxed cardiac sphincter

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

digestion occurs in

A

duodenum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

why do kids get abdominal distention

A

due to decrease enzymes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

when is the GI system normal

A

2 years

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

when are they able to control sphincter and then potty train

A

18 mo

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

for cleft lip and/or palate what is the majority of cases

A

majority are combination
~45%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

repair of CP/L

A

lip is done at 3-5 mo to help with feeding to create a seal
palate is done at 12 mo to protect formation of tooth buds and speech pattern

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

post op CP/L

A

minimize crying as it can affect the suture line

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

pyloric stenosis

A

hypterropic obstruction of the circular muscle of the pyloric canal so the lumen becomes inflamed and edematous

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

pyloric stenosis s/s

A

projective vomiting
- 3 feet
nonbilous or blood tinged throw up
hungry after emesis
fails to gain weight
fewer and smaller stools
dehydration
M. Alk
observed peristalsis
olive sided mass in RUQ

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

pyloric stenosis tx

A

pylormytomy
pyloric muscle is split

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

GER/GERD

A

return of gastric contents into the esophagus
result of relaxation of the esophageal sphincter

19
Q

most common esophageal disorder in kids

A

GER

20
Q

GER s/s

A

regurgitation
spitting up
decrease wt
frequently hungry

21
Q

GERD s/s

A

refusal of eating
sleep distrubances
coughing
choking
wheezing
arching of back during feedings

older: dysphagia, heartburn

22
Q

GER/GERD diagnosis

A

esophageal pH monitoring

23
Q

GER/GERD tx

A

mild
- feeding modification with thicker foods and positioning
smaller feedings and increase frequency
H2 blocker and PPI

24
Q

GER/GERD surgery

A

wrapping the greater curvature of the stomach around distal esophagus

25
Q

GER/GERD how long should we hold the infant upright for after feeding

A

20-30 min

26
Q

omphalocele

A

congenital malformation in which intraabominal contents herniate through the umbilical cord

27
Q

gastroschisis

A

congenital defect of abdominal wall protrusion through a defect in the abdominal wall to the right of the umbilicus
no membrane

28
Q

omphalocele/gastroschisis treatment

A

surgery
place infant feet first into bowel bag

29
Q

intussusception

A

one portion of the intestines prolapses and invaginates or telescopes into another

intensities rub togethers causing inflammation and edema which leads to decreased blood flow and edema, necrosis, and perforation

30
Q

intussusception most common location

A

ileocecal valve

31
Q

intussusception s/s

A

abrupt onset
bilious emesis
palpable abdominal mass
red currant jelly stool

32
Q

intussusception tx

A

air enema
- use air over barium because of decreased risk of perforation

33
Q

Hirschsprung disease

A

congenital anomaly in which inadequate motility causes mechanical obstruction of intestine which causes absence of ganglion cells which doesn’t allow for peristalsis

34
Q

Hirschsprung disease s/s
- newborn

A

abdominal distention
feeding intolerance
bilious vomit
failure to pass med in first 24-48 hours

35
Q

Hirschsprung disease s/s
- older infant/child

A

decrease wt gain and constipation

36
Q

Hirschsprung disease
- results of rectal biopsy

A

absence of ganglion cells

37
Q

Hirschsprung disease
- result of radiology

A

dissented bowel with dilated bowel loops

38
Q

Hirschsprung disease tx

A

remove aganglionic portion: pull through procedure

39
Q

appendicitis

A

inflammation of appendix
- obstruction and then there is continued secretion of mucus following obstruction leading to increased pressure causing ischemia, cellular death, and ulceration

40
Q

appendicitis s/s

A

periumblicus cramps
abdominal tenderness
anorexia
pain in RLQ - mcburney point
guarding
rigidity
rebound tenderness

41
Q

appendicitis tx

A

surgical removal

42
Q

appendicitis abscess tx

A

drain, antibiotics and remove at later time
- interval appendectomy

43
Q

education for parasite disorder

A

sandbox covered
good hand hygiene
proper med administration

44
Q
A

Pediatrics (37 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions