Necrotising enterocolitis Flashcards
1
Q
5 risk factors for necrotising enterocolitis
A
IUGR Prematurity Hypoxia Excessive Vitamin E administration Exchange transfusion i.e in Jaundice
2
Q
3 cardinal features
A
Abdominal distension
Billous aspirate
Bloody stool
3
Q
Commonest sites affected?
A
Terminal ileum
Caecum
Ascending colon
4
Q
1 complication?
A
Bowel perforation
5
Q
4 abdominal x-ray findings?
A
Dilated bowel loops
Pneumatosis intestinalis (air in bowel wall)
Air in portal tract
Pneumoperitoneum (if perforation)
6
Q
Typical presentation?
A
Premature infant with abdominal distension
7
Q
Supportive treatment
A
NIL by mouth (prepare for surgery)
IV Fluids
NG tube
Broad-spectrum Abx (i.e CefMet)
8
Q
Curative treatment
A
Surgery - bowel resection +/- ileostomy
