Paediatric Gastronenterology Flashcards
what are the symptoms of crohns
abdominal pain
weight loss
growht failure
mass?
what are the symptoms of UC
diarrhoea
retal bleeding
abdominal pain
wjhat investigations should you do
H and E, exclude infection FBC-aneamia and thrombocytosis stool calptroecin endoscopy colonoscopy
what is the treatment for crohs
nutritional therapy
steroids
thupruines
anti-tnp
what is the treatment for UC
5 ASA
steroids
thipurines
anti-TNF
wha is constipation
infrequent passage of stool
depends on age and diet
what are the symptoms of contsiaption
poor appitiete irritable lack of energy abdominal pain or distention withhold or straining
what is the cause of consitpation
poor diet insufficient fluids excessive milk intercurrent illness medication
what is the treatment
diet-increase fibre, fruit, veg and decrease milk
reduce aversive factors-correct heightl
lactulose, senna, movicol
what are the types of vomiting
vomiting with retching
projecitle
bilious
effortless
what are causes of vomitting
enteric pathogens intestinal inflammation metabolic derangement infection head injury middle ear stimuli
what is bilious vomitng
should always ring alarm bells
due to intestinal obstruction
what are the causes of bilious vomitng
intestinal atresia
malroation
crohns
ileus
what are the signs and symptoms of pyloric stneosis
can see visible gastric peristalsis s palpable projecting vomit weight loss dehyfration
what is the management for pyloric stneosis
fluid resusitation
laparoscopic pylormyotomy
what are the signs of GORD
vomiting haematemsis failure to thrive cough chest infection wheeze
what are the investigations for GORD
h and e video fluroscopy barium swallow pH study endoscopy
what is the treatment for GORD
thcijenrs for liquids appropriateness of food calorie supplements, NG tube acid suppression, PPI nissen funodplication is aspiration or not responding to treatment
what is coeliac disease
gluten sensitive enteropathy
what are the features
abdominal bloatedness diahorrea failure to thrive constipation flatulence tiredness foul smelling stools
what are the screening tests
anti-tissue transglutaminase
anti-endomusal
genetics-HLA DQ2
histology
what is diagnosis without biopsy
symptomatic children
anti TTG>10
positive anti-endoymisal antbidoes
HLA DQ2 positive
what is the treatment
gluten free diet for life
what is chronic diarrhoea
4 or more stools per day
fro more than 4 weeks
what are the causes of chronic diarrhoea
motlity- tolled, IBS
IBD
coliac, CF or food allergy
what is the clinical approach
age of onset
abrupt onset
family history
faeces analysis
