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AB 4th Year Paeds > Paediatric - Surgical Emergencies > Flashcards

Paediatric - Surgical Emergencies Flashcards

1
Q

what is necrotising enterocolitis?

A

necrosis in the small and large bowel

pre term immature bowels

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2
Q

features of necrotising enterocolitis?

A

lethargy
bloody stools
fever
abdo distension

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3
Q

Tx for necrotising enterocolitis?

A

stop feeding
Abx
surgical removal

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4
Q

what happens in pyloric stenosis?

A

hypertrophy of the pyloric sphincter

causes gastric outlet obstruction

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5
Q

features of pyloric stenosis?

A

projectile vomiting (non billous)
after feeding
RUQ olive mass
always hungry

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6
Q

what can an ABG in pyloric stenosis show?

A

metabolic acidosis

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7
Q

Tx for pyloric stenosis?

A

fluids
US
NG
ramsted’s pyloromyotomy

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8
Q

what happens in intussception?

A

prolapse of one part of the intestinal lumen into another (teloscoping)

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9
Q

features of intussception?

A 
episodic crying 
billlous vomiting 
colicky pain 
red jelly stool 
sausage shaped mass
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10
Q

Tx for intussception?

A

US with air inflation and reduction

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11
Q

what happens in midgut malrotation?

A

absent attachment of the small intestine mesentery

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12
Q

features of midgut malrotation?

A

distention
vomiting
dark green billous vomiting

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13
Q

Ix and Tx for midgut malrotation?

A

upper GI contrast study + US

Ladds surgery

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14
Q

what is gastroschisis?

A

paraumbilical defect where the abdominal viscera pokes through

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15
Q

what is a meconium ileus?

A

meconium blocks the bowel

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16
Q

what condition is associated with meconium ileus?

A

CF

17
Q

what can cause failure to pass meconium? what is it associated with?

A

duodenal atresia

down’s syndrome

18
Q

what is the commonest cause of PR bleeds in kids?

A

meckel’s diverticulum

failure of viteline duct to regress

19
Q

Ix for meckel’s diverticulum?

A

scintigraphy

20
Q

which hernia, para or umbilical has risk of strangulation?

A

paraumbilical

21
Q

what happens in hirschprung’s?

A

lack of colonic ganglia and autonomic nerve innervation

22
Q

features of hirschprung’s?

A

constipation
explosive stool
delayed meconium

23
Q

what are features of mesenteric adenitis? Tx?

A

abdo pain
URTI

conservative

AB 4th Year Paeds (10 decks)

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