Paediatric Gastronenterology Flashcards

1
Q

what are the symptoms of crohns

A

abdominal pain
weight loss
growht failure
mass?

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2
Q

what are the symptoms of UC

A

diarrhoea
retal bleeding
abdominal pain

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3
Q

wjhat investigations should you do

A
H and E, exclude infection
FBC-aneamia and thrombocytosis
stool calptroecin 
endoscopy 
colonoscopy
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4
Q

what is the treatment for crohs

A

nutritional therapy
steroids
thupruines
anti-tnp

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5
Q

what is the treatment for UC

A

5 ASA
steroids
thipurines
anti-TNF

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6
Q

wha is constipation

A

infrequent passage of stool

depends on age and diet

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7
Q

what are the symptoms of contsiaption

A
poor appitiete
irritable 
lack of energy 
abdominal pain or distention
withhold or straining
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8
Q

what is the cause of consitpation

A
poor diet
insufficient fluids 
excessive milk 
intercurrent illness
medication
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9
Q

what is the treatment

A

diet-increase fibre, fruit, veg and decrease milk
reduce aversive factors-correct heightl
lactulose, senna, movicol

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10
Q

what are the types of vomiting

A

vomiting with retching
projecitle
bilious
effortless

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11
Q

what are causes of vomitting

A
enteric pathogens
intestinal inflammation
metabolic derangement 
infection
head injury 
middle ear stimuli
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12
Q

what is bilious vomitng

A

should always ring alarm bells

due to intestinal obstruction

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13
Q

what are the causes of bilious vomitng

A

intestinal atresia
malroation
crohns
ileus

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14
Q

what are the signs and symptoms of pyloric stneosis

A
can see visible gastric peristalsis s
palpable 
projecting vomit
weight loss 
dehyfration
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15
Q

what is the management for pyloric stneosis

A

fluid resusitation

laparoscopic pylormyotomy

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16
Q

what are the signs of GORD

A
vomiting 
haematemsis
failure to thrive
cough
chest infection
wheeze
17
Q

what are the investigations for GORD

A
h and e
video fluroscopy
barium swallow 
pH study 
endoscopy
18
Q

what is the treatment for GORD

A
thcijenrs for liquids 
appropriateness of food 
calorie supplements, NG tube
acid suppression, PPI
nissen funodplication is aspiration or not responding to treatment
19
Q

what is coeliac disease

A

gluten sensitive enteropathy

20
Q

what are the features

A
abdominal bloatedness
diahorrea 
failure to thrive 
constipation
flatulence 
tiredness
foul smelling stools
21
Q

what are the screening tests

A

anti-tissue transglutaminase
anti-endomusal
genetics-HLA DQ2
histology

22
Q

what is diagnosis without biopsy

A

symptomatic children
anti TTG>10
positive anti-endoymisal antbidoes
HLA DQ2 positive

23
Q

what is the treatment

A

gluten free diet for life

24
Q

what is chronic diarrhoea

A

4 or more stools per day

fro more than 4 weeks

25
Q

what are the causes of chronic diarrhoea

A

motlity- tolled, IBS
IBD
coliac, CF or food allergy

26
Q

what is the clinical approach

A

age of onset
abrupt onset
family history
faeces analysis