GI/GU diseases Flashcards
1
Q
celiac disease
A
immunologic disorder where gluten damages the small intestine
2
Q
manifestations of celiac disease
A
- diarrhea
- steatorrhea
- growth failure
- abdominal distention
- vomiting
- anemia
- irritability
- anorexia
- muscle wasting
- edema
- anemia
- folate deficiency
3
Q
celiac disease treatment
A
- eliminate B.R.O.W
- vitamin supplements: fat soluble (ADEK) and folate
- rice and corn cereal
4
Q
celiac disease interventions
A
stress importance of adhering to diet plan
5
Q
GER
A
- regurgitation of gastric contents back into the esophagus
- self limiting, usually resolves by 1 year old
6
Q
GER s/s for infants
A
- vomiting or spitting up after meal
- weight loss
- FTT
- irritability
- blood in vomitus
- coughing, choking, wheezing
7
Q
GER s/s for children
A
- heartburn
- discomfort, abdominal pain
- difficulty swallowing
- chronic cough
- non-cardiac chest pain
8
Q
GER management- dietary changes
A
- small frequent feedings with frequent burping
- thick formula with 1 tsp-1 tbsp of rice cereal
- avoid foods that cause reflux (spicy, citrus, peppermint, caffeine, chocolate)
9
Q
GER management- positional changes
A
- prone decreases reflux but only do this if older than 1yo due to risk of SIDS
- head elevated 30-45 minutes after meals, may need to sit in carseat after meals
10
Q
GERD
A
tissue damage as a result of GER
11
Q
Complications of GERD
A
- pneumonia
- weight loss
- FTT
12
Q
management of GERD
A
- GER interventions along with PPIs and H2 Receptor agonists
- if needed, surgery- nissen fundoplication
13
Q
sandifer syndrome
A
arching of back during or after feeding
-report to doctor
14
Q
pyloris stenosis
A
muscle surrounding the pyloris hypertrophies and obstructs gastric emptying
15
Q
s/s of pyloris stenosis
A
- vomiting, becomes projectile as obstruction worsens
- blood tinged vomit due to esophageal irritation
- firm olive shaped mass in RUQ
- peristaltic waves from LUQ to RUQ may be visible when supine
- infant irritable and hungry shortly after feeding
