HIRSCHSPRUNG DISEASE AND GER Flashcards
What is the pathophysiology of Hirschsprung disease?
Absence of ganglion cells could lead to
Absence of peristalsis
Loss of rectisphincterux reflex
Stool accumulation
Megacolon
Instestinal ischemia develop
Enterocolitis may develop
What is the clinical manifestation of Hirschsprung disease?
Failure to pass meconium for 24 to 48 hrs
Abd distention
Feeding intolerance
Vomiting
What is the child sign and symptoms of HD?
Constipation/diarrhea
Ribbon like foul-smelling stools
How is HD bring diagnosed?
Rectal biopsy
What are the post op considerations of HD?
Strick I and O
Abd circumference
Educate parents about the ostomy bag
What is the most common diagnosis of GER?
Scintigraphhy
What are the reasons for reflux in the first year of child?
Immature esophagus
They are lying down most of the time
Mostly liquid diet
What are the signs and symptoms of GEr for infants?
Spitting up
Irritability
Vomiting
Arching of the back
Choking with feedings
Respiratory/aspiration
What the interventions for infants with GER?
Sit them upright 15 to 30 mins after feeding
Smaller frequent feedings
Introduce iron fortified rice cereak to milk
What are medications to treat for GER?
H2 antagonist(famotadine) suppressed secretion of acid
PPI(pantoprazole) reduce gastric acid
What do you call the surgery for GER?
Nissen Fundoplication
