Other GI

Question 1

What are some causes of abdominal pain in children?

Answer 1

Appendicitis
Mesenteric adenitis
Constipation
Functional 
Abdo migraine
Peritonitis
GAstroenteritis
IBS

Question 2

Who is appendicitis seen in?

Answer 2

Rare before school age

Question 3

What is the presentation of appendicitis?

Answer 3

Murphy’s triad- pain, vomiting, fever
Often atypical
Looks generally unwell

Question 4

What is the pain in appendicitis?

Answer 4

Starts generalised and moves to McBurny’s point

Question 5

What is the management of appendicitis?

Answer 5

Analgesia, antibiotics

Surgery

Question 6

What are the complications of appendicitis?

Answer 6

Abscess
Mass
Peritonitis

Question 7

What is mesenteric adenitis?

Answer 7

Inflammation of mesenteric lymph nodes causing pain

Question 8

When does mesenteric adenitis occur?

Answer 8

With/following viral URTI

Question 9

What is the presentation of mesenteric adenitis?

Answer 9

Central abdo pain
URTI
High temperature
Not very unwell

Question 10

What is the management of mesenteric adenitis?

Answer 10

Conservative

Self limiting

Question 11

What is oesophageal atresia?

Answer 11

Oesophagus ends in blind ended pouch

Question 12

What is oesophageal atresia associated with?

Answer 12

Tracheo-oesophageal fistula

Polyhydramnios

Question 13

What is the presentation of oesophageal atresia?

Answer 13

Choking

Cyanotic spells

Question 14

What is associated with duodenal atresia?

Answer 14

Down’s

Question 15

When does duodenal atresia present?

Answer 15

Few hours after birth

Question 16

What is the presentation of duodenal atresia?

Answer 16

Bilious vimting

Question 17

What investigation is done for duodenal atresia?

Answer 17

AXR- double bubble sign

Question 18

What is the management of duodenal atresia?

Answer 18

Duodenoduodenostomy

Question 19

What causes juvenal atresia?

Answer 19

Vascular insufficiency in utero

Question 20

What is the presentation of jejunal atresia?

Answer 20

Bilious vomiting in forst 24 hours

Question 21

What is the investigation of jejunal atresia?

Answer 21

AXR- fluid levels

Question 22

What is the management of jejunal atresia?

Answer 22

Laparotomy with primary resection and anastomosis

Question 23

What is associated with umbilical hernia?

Answer 23

Low birthweight
Prematurity
Down’s
Hypothyroid

Question 24

What is the management of umbilical hernia?

Answer 24

Monitor- spontaneous closure in 90% between 12 months and 3 years
Repair if- complications or >4 years
Complications rare

Question 25

What causes an epigastric hernia?

Answer 25

Defect in linea alba above umbilicus causing protrusion of preperitoneal fat

Question 26

What is the presentation and management of an epigastric hernia?

Answer 26

Age 2-3
Cosmetic surgery only
Self limiting

Question 27

Who is inguinal hernia seen in?

Answer 27

Common

M>F

Question 28

What is the management of inguinal hernia?

Answer 28

<1 year= urgent repair
>1 year= elective repair
Herniotomy without mesh

Question 29

Why are inguinal hernias repaired emergently in <1 year?

Answer 29

High risk strangulation

Question 30

What is gastroschisis?

Answer 30

Abdo wall defect causing gut to be eviscerated and exposed

Question 31

What is the management of gastroschisis?

Answer 31

Urgent repair

TPN

Question 32

What is exomphalos?

Answer 32

Umbilical defect causing protrusion of abdominal contents into covered viscera

Question 33

What is exomphalos associated with?

Answer 33

Cardiac
Chromosomal
Renal
Neuro

Question 34

What is the management and prognosis of exomphalos?

Answer 34

Gradual closure

Very poor prognosis due to associated conditions and complications