INtestinal anatomic obstructions that result in vomiting Flashcards
Clinical for hyper pyloric stenosis
Irritable but hungry Jaundiced (low glucuronyl transferase) Dehydrated Hypochlor, hypoK met alk Nonbilious, nonbloody vomit that becomes projectile over time
Diagnose hyp pyl steno
US
How does malrotation lead to obstruction?
Peritoneal bands obstruct the duodennum
CLin for malrotation with volvulus
Acute bilious vomiting in an otherwise healthy infant
Shock, peritonitis and cv collapse may occur with infarcted/rupturd bowel
Imaging in malrotation with volvulus
Lig of treitz to the right of midline, duodenal obstruc, jejunum to the right of midline
Most common cause of obstr in the neonatal period
Atresia (failure of recanalization)
Down syndrome patient with intestinal obstruction
Atresia of something
Prenatal diagnosis of int atresia
Polyhydramnios
Postnatal dx of intestinal atresia
Scaphoid abdomen with epigastric distension
Most common cause of bvowel obstruction after neonatal period and before 2 yrs old
Intussusception
Clinical for intussuscewption
Currant jelly
Periods of pain with drawing legs up
Sausage-shaped mass in RLQ
Dx of intuss
enema, also therapeutic
