Neonates - necrotising enterocolitis Flashcards
1
Q
complications
A
bowel perforation peritonitis short bowel syndrome abscess formation long term stoma shock and death
2
Q
risk factors
A
very low birth weight premature formula resp distress sepsis PDA and congenital heart disease
3
Q
presentation
A
intolerant to feeds vomiting - green bile distended, tender abdomen absent bowel sounds blood in stools
4
Q
Investigations
A
FBC CRP capillary blood gas blood cultures abdo xray
5
Q
capillary blood gas findings
A
metabolic acidosis
6
Q
xray findings
A
supine position dilated loops of bowel bowel wall oedema gas portal veins pneumoperitoneum pneumosasis intestinalis
7
Q
pneumoperitoneum
A
free gas in peritoneal cavity - perforation
8
Q
pneumosasis intestinalis
A
gas in bowel wall
9
Q
management
A
nil by mouth
IV fluids, TPN and abx
NG tube
surgical emergency
10
Q
what orally may help?
A
probiotics
11
Q
antibiotics
A
cefotaxime and vancomycin
metronidazole
12
Q
full-term infants associations
A
perinatal asphyxia
polycythaemia
resp distress
13
Q
prevention
A
human milk and probiotics
small increment increasing feeds
erythropoeitin
strict infection control
14
Q
common cause in elderly
A
c diff
