GI - LL Flashcards
What is required to diagnose a baby with COLIC?
Otherwise HEALTHY infant, aged 2-3 months with : -Cries for >3 hours/day -for > 3 days/week -for > 3 weeks. =WESSEL CRITERIA (“rule of 3s”)
What are the ROME criteria for diagnosing Constipation?
Toddlers: 2 or more of the following for at least 1 month
Age >4: 2 or more for at least 2 months!
- 1 episode of encopresis/wk
- < 3 bms/wk
- Full rectal vault
- Toilet obstruction
- Posturing and fecal withholding
- pain with defecation
What is the most frequent cause of intestinal obstruction in the first 2 years of life?
Intussusception
Infant that is 4 months old presents with his knees drawn up, followed by vomiting and diarrhea (“currant jelly BM”), and lethargy.
Intussusception
What are both diagnostic and therapeutic for intussusception?
Barium or air enema in first 24 hrs
What is the time requirement to have “recurrent” abdominal pain?
1x/month for at least 3 months!
What 2 things do you need to consider with an infant with anal fissures?
- ABUSE
2. Crohn’s Disease
A newborn with a non patent anus:
Imperforate anus
Risk factor for imperforate anus?
Mom took asthma medications preconceptually
A very fussy, hungry baby presents with weight loss and projectile postprandial vomiting, what are we concerned about?
Pyloric Stenosis
What are risk factors for developing pyloric stenosis?
Erythromycin use, maternal smoking, and bottle-feeding
What do you see on GI barium with a patient with pyloric stenosis?
“string sign”
Is the rectal vault full or empty in Hirschsprung’s Disease?
EMPTY!
A newborn who has failed to pass the meconium in 48 hours and who has a distended abdomen and reluctance to feed.
Hirschsprung’s Disease
A Meconium ileus is caused by ______ until proven otherwise?
CYSTIC FIBROSIS!
