Paediatric Surgery Flashcards
what are the 3 red flag symptoms for paediatric surgical problems
vomiting - especially bile coloured
abdominal pain
acute scrotum
what is atresia of the small bowel
abnormal opening or passage in the body, due to mesenteric vascular accident in utero
how does atresia present in utero and at birth
dilated bowel on USS
+/- polyhydramnios
neonate usually well immediately after birth
which conditions typically presents with bile-stained (moss green) vomit
malrotation with volvulus
what causes malrotation to occur
failure of normal sequencing of rotation and fixation of the bowel in utero
how long after birth does malrotation with volvulus present
within first month of birth
how is malrotation with volvulus corrected
surgery to rotate the bowel if no bowel ischaemia, if ischaemia is present it must be removed
what is meconium ileus
condition where babys meconium is very sticky and cannot pass causing blockage of the bowel
meconium ileus is diagnosed when meconium has not passed after how long
> 24 hours
as well as no passage of meconium, how else does meconium ileus present
colon appears narrow and unused
abdominal distension
what is the most common cause of meconium ileus
cystic fibrosis - must do sweat test
how is meconium ileus managed
stop feeds
plain film abdo x-ray showing bowel obstruction and calcification
genetic testing for CF
