GI Dysfunction Flashcards
You are in Mexico in your community health rotation.
In the clinic you see a 3 mo, who presents with VS of HR 180, BP 82/42 RR of 48 and T 101.5 F. The exam shows dry skin, cool extremities, CRT ~3 seconds, poor skin turgor, mucus membranes are dry. He is also irritable with a sunken fontanel. He cries with minimal tears. Mom states he has had 12 diapers with liquid stool and little urine today and has wants to drink but pushes the bottle away.
This is what type of dehydration?
Isotonic dehydration
Vincent is a 34 week premie, with mother noted to have polyhydraminous at delivery. Soon after birth he develops respiratory distress with frothy saliva, coughing and aspiration; requiring care. The nurse when attempting to pass an NG tube is unsuccessful.
What is wrong with Vincent?
Tracheoesophageal fistula(TEF) w/Esophageal Artesia (EA).
Amal is 6 mo who presents with FTT, despite eating often, vomiting with feeds, irritability and wheezing with hoarse cry.
What is wrong with Amal?
Gastroesophageal Reflux.
Connor is a 4 wo. firstborn white male who presents to the PNP with a history vomiting right after the feeds for approximately 1 week. The vomiting has become more frequent. His vomiting is projectile, following feedings. It was whitish (like breast-milk), but is now slightly brownish. You palpate an olive-like abdominal mass at the epigastria to the right of umbilicus and can see abdominal peristalsis.
What is wrong with Connor?
Pyloric Stenosis.
Luke is 5 yo presents with intermittent abdominal pain that is new according to parents. He draws his knees to his chest. He has a palpable sausage like mass in abdomen and his stools that appears to look like jelly with blood in them. He has had green colored emesis as well. He is now lethargic when you evaluate him.
Intussusception.
Sandra is a 2 yo who presents to her PNP with evidence of foul smelling stools that appear gray and oily, abdominal distension and other signs of malnutrition.
Celiac disease
Courtney presents as a 2 mo. Parent report loud, continuous crying. The abdomen is distended and tense. She draws up her legs and clenches her hands. Parents report that crying stops when she is exhausted or passage of flatus or stool.
What is wrong with Courtney?
Colic
