Paediatric Surgery Flashcards
1
Q
what is Murphy’s triad?
A
Murphy’s triad for assessing appendicitis:
- pain
- vomiting
- fever
2
Q
Intussusception investigations
A
- history and exam: bilious vomiting, bloody mucous PR (redcurrant jelly stool)
- USS abdomen > ‘target sign’
3
Q
Intussusception management
A
- pneumostatic reduction (air enema)
- laparotomy
4
Q
when would you operate on an umbilical hernia (paeds)?
A
- spontaneous closure by 4 years ir rule
- complications rare
- repair if: complications, relative (persistence > 4 years, large defect, aesthetic)
5
Q
how is malrotation and volvulus treated?
A
- laparotomy ASAP
