older GI Flashcards
most common cause D+V kids
gastroeneteritis - rotavirus
how long does diarrhoea usually last in children
5-7 days // stops within 2 weeks
symptoms clinical dehydration child
unwell, decreased UO, warm extremeties, altered LOC // sunken eyes, dry membranes, fast HR, RR, good puleses, ok cap refill, ok BP
symptoms clinical shock child
decreased LOC, cold extremeties, pale, // fast RR, HR, weak pulses, long cap refil, hypotension
symptoms indicating hypernatreamic dehydration
jittery, increased tone, hyperreflexia, convulsions, drowsy or cma
when is stool culture indicated kids
septicaemia, blood or mucus, immunocompromised
mx dehydrated child
50ml/kg ORS, breastfeeding,
most common causes chronic diarrhoea in infants
cows milk intolerance
constipation diagnosis <1 yr
<3 times a week, hard stool or rabbit droppings // distress on defecation, bleeding
constipation diagnosis >1 yr
<3 a week, overflow (very loose and smelly), infrequent // poor appetite, better after defecation, retentive posture (tip toe, arched back), anal pain
red flags in constipation
from birth or first few weeks // meconium >48 hours // ribbon stool // weakness or motor delay // distension // faltered growth (amber)
symptom faecal impaction kid
severe constipation // overflow soiling // palpable mass in abdomen
mx faecal impaction kid
1) polyethylene glycol +electrolytes // 2) add stimulant after 2 weeks (senna) // if poleyethlene not tolerated use stimulant + osmotic eg lactulose
age presentation coeliac kids
<3
symptoms coeliac kids
failure to thrive // diarrhoea // distension // anaemia (older kids)
