Harden week 6 Flashcards
Presentation of DKA
polyuria
metabolic acidosis, kussmaul respirations, acetone breath. fatigue
Presentation of pyloric stenosis
first 2 weeks more males NON-BILIOUS VOMITING dehydration no weight gain DX w/ ultrasound
intussuseption buzzwords
telescoping of bowel
black current jelly stool
lead point
may be after infection
within 2 years of life
Meckels Diverticulum stuff to rememebr
remnant of yolk sac lining is similar to stomach frequent painless bleeding DX via meckel's scan TX sugery rules of 2
70%-80% of acute diarrhea in america is
viral gastroenteritis
complications of diarrhea
dehydration
acid base, electrolytes off
sepsis
malnutrition
acute diarrhea - main viruses, bacteria and parasites that cause it:
Rotavirus
Norovirus
Campylobacter jejuni
e coli
salmonella
cryptosporidium
giardia
Evaluation of dehydration in kiddos
percent body weight loss is OBJECTIVE
mild = 3-5%
moderate = 6-9%
severe = 10%
delayed capillary refill
WHAT DO YOU DO IF A KID IS SUPER DEHYDRATED
20 ml per kg of normal saline over 1 hour
Signs of Colic in infants
won't stop crying drawing legs up usually in evening 3-6 weeks old until 3-6months normal part of growing pattern