Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

MRCS A > Paeds > Flashcards

Paeds Flashcards

1
Q

M:F pyloric stenosis

A

4:1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Features of pyloroic stenosis on examination

A

Olive mass RUQ

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What age does Pyloric Stenosis present?

A

around 6 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Ix pyloric stenosis

A

USS
Test feed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Treatment pyloric stenosis

A

Ramstedt pyloromyotomy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What age and below would you not expect a child to have acute appendicitis?

A

<3

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Features of mesenteric adenitis

A

Central abdominal pain
URTI
Mimics appendicitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Mx of mesenteric adenitis

A

Conservative

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is intussusception

A

one segment of bowel is pulled into itself or a neighbouring loop of the bowel by peristalsis (telescoping)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Where in the GIT does intussusception usually occur?

A

proximal to ileocaecal valve
(Ileocolic)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Age at which intussusception presents

A

9 months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Sx intussusception

A

Colicky pain
Diarrhoea (red current)
Vomiting

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

On examination what would you feel in intussusception

A

Sausage shaped mass RUQ

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is red current jelly stools an indication of

A

Intussusception
That ischaemia has occured

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Ix intussusception

A

XR - RUQ mass
Target sign USS
Fluoroscopy + contrast enema (gold standard)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Mx intussusception

A

Air insufflation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

When not to use air insufflation in intussusception

A

Ileo-ileo intussuception

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What is the most common cause of neonatal bowel obstruction ?

A

Hirschsprungs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

M:F Hirschsprung

A

3:1

20
Q

What is Hirschsprung’s

A

ganglionosis (absence of ganglion cells) in the distal colon and rectum in myenteric + submucosal plexuses

21
Q

PS Hirschsprung’s

A

Failure to pass meconium in 1st 1-2 days post birth

22
Q

Ix Hirschsprung

A

Rectal biopsy
Contrast enema

23
Q

Mx Hirschsprung

A

Rectal washouts
Definitively anorectal pull through

24
Q

What 3 things is oesophageal atresia associated with?

A

Tracheo-oesophageal fistula
Polyhydramnios
VACTERL

25
Q

What is VACTERL

A

Vertebral defects
Anal atresia
Cardiac defects
Tracheo-oesophageal fistula
Renal anomalies
Limb abnormalities

26
Q

Sx oesophageal atresia

A

Choking + cyanotic spells following aspiration

27
Q

Which condition is meconium ileus associated with?

A

Cystic fibrosis

28
Q

Ix/Tx meconium ileus

A

Initially PR contrast studies - can actually dislodge meconium
NG N-acetylcysteine
If this fails –> surgery

29
Q

Features of biliary atresia

A

Jaundice >14 days
increase in conjugated bilirubin

30
Q

Mx biliary atresia

A

Urgent Kasia procedure

31
Q

Biggest RF necrotising enterocolitis

A

Prematurity

32
Q

Sx necrotising enterocolitis

A

Abdo distention
Passage bloody stools

33
Q

XR features necrotising enterocolitis

A

Pneumatosis intestinalis
free air

34
Q

Mx necrotising enterocolitis

A

Gut rest
TPN
If fails –> laparotomy

35
Q

What is a Littres hernia

A

Hernia containing meckels diverticulum

36
Q

Mx Littre’s hernia

A

Mesh repair

37
Q

By what age do 95% of umbilical hernia’s resolve by?

A

Age 2

38
Q

After what age would you surgically repair an umbilical hernia?

A

After 3rd birthday

39
Q

Through where does a Morgagni hernia form?

A

foramen magni in diaphragm

40
Q

What part of the bowel will more advanced Morgagni hernia contain?

A

Transverse colon

41
Q

Management Morgagni hernia

A

Direct anatomical repair

42
Q

Bochdalek vs Morgagni hernia - which is associated with polmonary hypoplasia and respiratory compromise?

A

Bolchadek

43
Q

Where are the majority of Bochdalek hernias?

A

Left hemidiaphragm (85%)

44
Q

Which gender > Bochdalek hernias?

A

Male

45
Q

Mx Bochdalek hernias

A

Direct anatomical repair or mesh repair

46
Q

Asymptomatic Meckels - what type of cells?

A

Ileal mucosa

47
Q

Symptomatic Meckel’s - what type of cells?

A

Gastric mucosa

MRCS A (36 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions