Paeds Flashcards
Define pyloric stenosis
Hypertrophy of the smooth muscle of the antrum and pylorus of the stomach
- commoner in males and between and usually between 1st week of life up to 3 months
What is the presentation, investigation and management of pyloric stenosis?
Enlarged pylorus “olive” palpated in the RUQ or abdomen
USS
Correct fluid and electrolyte imbalance before performing Ramstedt’s or laparoscopic pyloromyotomy
What is duodenal atresia?
Idiopathic disease of new born infants
What is the presentation of duodenal atresia?
Onset of vomiting within hours of birth
Abdomen scaphoid and there is double bubble sign on USS
- first bubble stomach and second postpyloric and prestenotic dilated duodenal loop
What is Hirscchsprung disease?
Absence of enteric neurone within the myenteric and submucosal plexus of the rectum and/or colon