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Jason's MD3 Paeds > Paediatric Abdo Surg > Flashcards

Paediatric Abdo Surg Flashcards

1
Q

4 common surg Abdo presentations

A 
Malrotation
Hypertrophic pyloric stenosis
Mesenteric adenitis
Testicular torsion
Intussusception
APPENDICITIS.
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2
Q

Most common cause of vomiting in children

A

Sepsis

Infection

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3
Q

Common infections in children causing vomiting and Abdo pain

A

Meningitis
UTI
Pneumonia
Osteomyelitis

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4
Q

2 most important things to know when seeing a patient surg wise

A

How old

Boy or girl

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5
Q

When malrotation?

A

Neonate

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6
Q

Neonatal period?

A

28 days corrected.

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7
Q

Infancy timeline

A

28days till 12 months

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8
Q

Classic presentation of malrotation?

A

Bilious vomiting green

Bile is usually yellow

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9
Q

Malrotation with volvulus, what Ix?

A

AXR
U/S
Contrast study

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10
Q

Contrast study of malrotation, when surgery?

A

C for conservative if around pancreas

S for surgery if

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11
Q

What else do you do in malrotation surgery before

A

Appendicectomy. Caecum ends up being in left upper quadrant

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12
Q

Pyloric stenosis Incidence?

A

1:300

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13
Q

Pyloric stenosis demographics

A

3-6 weeks
Projectile vomiting
Male
Yes FHx can be if mother had it.

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14
Q

Pyloric stenosis vomit looks?

A

Non-bilious.

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15
Q

Pyloric stenosis after vomit, baby wants?

A

Want to feed

As opposed to malrotation or sepsis

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16
Q

Metabolic disturbance in Pyloric stenosis?

A

Hypokalaemic
Metabolic alkalosis
Hypochlorimic

17
Q

Urine in Pyloric stenosis?

A

Paradoxical acid urea

Trying to keep sodium At kidneys

18
Q

When operate for Pyloric stenosis?

A

When metabolic imbalance settles

19
Q

Pyloric stenosis on U/S see?

A

Lengthening of pyloris and thickening of wall

20
Q

Interssusception

Demographics

A

Male

Age: 5-7 months Peak, 3mo-3years

21
Q

Intussusception Abdo pain?

A

Colicky, squeezing from peristalsis

22
Q

Typical Intussusception position of baby

A

Legs up And colicky

23
Q

Intussusception examination findings

A

Mass: early sign

Red currant jelly poo

24
Q

Intussusception reduction?

A

Gas reduction, between 80-120mmhg under fluoroscopy

Doesn’t work
Pathological way-point, Meckel’s

25
Q

Why 5-7 months Intussusception peak?

A
  • Foods intro
  • Stopping breast milk
  • Lymph nodes get enlarged from more antigen exposure
  • rotavirus
26
Q

Intussusception U/S see what?

A

Target Sign

27
Q

Appendicitis need to rule out?

A

UTI - more common

28
Q

Appendicitis Kid’s under 5 presentation different how?

A

Early presentation

Early perforation

29
Q

Mesenteric adenitis is?

A

Inflammation of lymph nodes,
Viral illness
Higher temps: 39
Pain can be bilateral lower quadrant

Ages of 8-12

Jason's MD3 Paeds (28 decks)

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