OnlineMedEd: Surgery: Subspecialty - "Peds: Weeks to Months" Flashcards
NEC generally presents with _____________.
a bloody bowel movement
How do you treat NEC?
Immediate bowel rest –NPO and TPN –with antibiotics.
If the bowel has died, surgical resection is needed.
The test has to tell you _____________ if they’re wanting you to diagnose CF based on meconium ileus.
that the patient did not have a prenatal screen (e.g., immigrant)
X-ray will often show ______________ in those with meconium ileus.
a gas-filled plug
How do you treat meconium ileus?
Water-soluble contrast enema
Meconium ileus can lead to what surgical emergency?
Perforation with peritonitis
Hirschprung’s results from _________________.
failure of the INHIBITORY neurons to migrate to the distal colon
Which nerve network is missing in Hischprung’s?
Auerbach and Mesenteric plexuses
Hirschprung’s can present in two ways: _____________.
failure to pass meconium or overflow incontinence as a toddler
List three diagnostic steps in Hirschprung’s.
1) KUB showing dilated proximal colon with constricted distal colon
2) Anal manometry showing constant tone
3) Full-thickness biopsy showing absent ganglionic neurons 2 cm above the dentate line
How is Hirschprung’s treated?
Surgical resection of bad colon
Why does intussusception cause pain?
The telescoped bowel gets ischemic because the vessels get pinched.
________________ often relieves the pain of intussusception.
The knee-to-chest position
___________ treats intussusception.
Air enema
Other than an x-ray showing double-bubble with normal distal gas, what imaging can diagnose pyloric stenosis?
US showing the donut sign
