necrotising enterocolitis Flashcards

1
Q

what

A

disorder effecting premature neonates where part of bowel becomes necrotic

can lead to perforation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

risk factors

A
very low birth weight
very premature
resp distress and assisted ventilation 
sepsis 
PDA + other congenital heart disease
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

features

A
intolerant to feeds
vomit esp bilious 
unwell 
distended, tender abdo 
absent bowel sounds 
blood in stool
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

features if perforation occurs

A

peritonitis
shock
severely unwell

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

investigation of choice

A

abdo xray

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

blood tests

A

thrombocytopenia, neutropenia
CRP
cap blood gas - metabolic acidosis
blood cultures

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

abdo xray findings

A

dilated loops of bowel
bowel wall oedema
pneumatosis intestinalis
pneumoperitoneum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Pneumatosis intestinalis

A

gas in bowel wall

sign of NEC

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Mx

A

NMB
IV fluids
TPN
antib

immediate referral to neonate surgical team

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

complications

A
perforation + peritonitis
sepsis 
death 
strictures
abscess
recurrent 
long term stoma 
short bowel syndrome
How well did you know this?
1
Not at all
2
3
4
5
Perfectly