Paediatric Surgery Flashcards

1
Q

Biliary stenosis cause

A

Cholingitis

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2
Q

Investigation for biliary stenosis

A

HIDA scan

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3
Q

Use of Kasai procedure

A

Biliary stenosis

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4
Q

Cause of biliary vomiting after first eating

A

DUODENAL atresia

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5
Q

Cause of meconium ileus

A

Cystic fibrosis

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6
Q

Association of congenital anomaly with duodenal atresia

A

Trisomy 21 down syndrome

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7
Q

When to do chloride sweat test

A

Cystic fibrosis/meconium ileus

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8
Q

Pathological part of hirschsprungs disease

A

Aganglionic Distal constructed part

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9
Q

Opposite presentation of hirschsprungs disease

A

Achalasia cardia

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10
Q

Time of vomiting in CHPS

A

After 4 weeks

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11
Q

How long jaundice to be present to declare biliary atresia

A

More than 14 days for term
& 21 for preterm

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12
Q

VACTREAL syndrome associated with

A

DUODENAL atresia

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13
Q

Location is pathology in medium ileus

A

Distal small intestine

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14
Q

Cyanotic heart disease at birth

A

TGA

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15
Q

Most common cyanotic heart disease

A

TOF

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16
Q

Must common acyanotic heart disease of children

A

VSD

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17
Q

Most common acyanotic heart disease of adult

A

ASD

18
Q

Where do we find enterocystoma

A

Meckels diverticulum

19
Q

Right loin mass with hematuria

A

Neuroblastoma/Wilms tumor

20
Q

Character of bronchogenic cyst

A

Along Midline
Has air fluid level
May cause dyspnoea

21
Q

First line of treatment of meconium ileus due to cystic fibrosis

A

Enema by N-acetyl cystine or gastrograffin
But not is there is perforation

22
Q

Diagnostic investigation for hirschsprungs disease

A

Full thickness rectal biopsy

23
Q

Most common cause it’s hesitancy and poor urine stream in children

A

Posterior ureteral valve

24
Q

What is Kasai procedure

A

Roux-en-Y portojejunostomy

25
Q

Cause of bilious vomiting associated with exomphalos and diaphragmatic hernia

A

Intestinal malrotation

26
Q

Didn’t pass meconium within 3 days

A

See if imperforated anus
If not then
Full thickness rectal biopsy

27
Q

Best time to perform Kasai procedure for biliary atresia

A

Within first 8 weeks

28
Q

Alagille syndrome and biliary atresia

A

Alagille syndrome and biliary atresia can cause similar effects and symptoms. In Alagille syndrome, your bile duct can restrict the flow of bile to the small intestine, causing bile to back up into the liver. In biliary atresia, damage or scarring of the bile ducts causes the same symptoms.

Biliary atresia, also known as extrahepatic ductopenia and progressive obliterative cholangiopathy
ducts did not form properly during pregnancy. Or may be damaged by the body’s immune system because of a viral infection that happened after birth.

Alagille syndrome causes liver damage by reducing the number of bile ducts in the liver, which prevents bile from draining properly. This leads to a buildup of bile in the liver, which can cause scarring and liver failure.

29
Q

Munchausen syndrome

A

Factitious disorder imposed on another

Common presentations of Munchausen syndrome
pretend to be in pain.
exaggerate symptoms.
fake symptoms, including psychological symptoms.
poison themselves with chemicals.
infect themselves with unclean substances.
tamper with diagnostic tests – for example, contaminate a urine sample with sugar or blood
interfere with a medical condition so that recovery isn’t possible – for example, repeatedly open or contaminate a skin wound or not take prescribed medication
ignore a genuine medical problem until it becomes serious.

30
Q

Confirm cause of bilious vomiting in infant to proceed

A

Contrast study
If DJ flexure is right of midline then do laparotomy to treat this intestinal malrotation with volvulus

31
Q

Time of onset of symptoms of intestinal malrotation in neonates

A

After 1-2 days
After several feeding to be more specific

32
Q

Time of definitive surgery for hirsprungs disease

A

9-12 months of age

33
Q

X ray finding of bronchogenic cyst

A

At Midline mostly
Radio opaque (ground-glass opacity) with air fluid level

34
Q

Initial step to manage intussusceptoon

A

Resuscitation

35
Q

Components of VACTREL

A

Vertebral
Anorectal
Cardiac
Thacheo oesophageal
Renal
Radial limb

36
Q

Which has fluid loss between Gastroschisis and omphalocele

A

Gastroschisis

37
Q

What type of lesion is juvenile polyp

A

Hamartoma
That’s why cherry red color

38
Q

What does juvenile polyp indicate as underlying pathology

A

Polyposis disorder

39
Q

X-ray finding of meconium ileus

A

Distended coils of intestine with mottled ground glass appearance
Scarce fluid level because of viscid meconium

40
Q

Short ten treatment for oesophageal atresia

A

Replogle tube for removing oesophageal secretion pending surgery

41
Q

X-ray finding of necrotizing enterocolitis

A

Pneumatosis
(Intra mural air produced by bacteria)