Paeds Gastro

Question 1

In a vomiting child, what would bile-stained vomit be a red flag for?

Answer 1

Intestinal obstruction

Question 2

In a vomiting child, what would haematemesis be a red flag for?

Answer 2

Oesophagitis
Peptic ulceration
Oral/nasal bleeding

Question 3

In a vomiting child, what would projectile vomiting in the first few weeks of life be a red flag for?

Answer 3

Pyloric stenosis

Question 4

In a vomiting child, what would vomiting at the end of paroxysmal coughing be a red flag for?

Answer 4

Pertussis (whooping cough)

Question 5

In a vomiting child, what would abdo tenderness/pain on movement be a red flag for?

Answer 5

Surgical abdomen

Question 6

In a vomiting child, what would abdominal distension be a red flag for?

Answer 6

Intestinal obstruction

inc strangulated hernia

Question 7

In a vomiting child, what would hepatosplenomegaly be a red flag for?

Answer 7

Chronic liver disease

Question 8

In a vomiting child, what would blood in the stool be a red flag for?

Answer 8

Intussusception

Gastroenteritis (salmonella/campylobacter)

Question 9

In a vomiting child, what would severe dehydration/ shock be a red flag for?

Answer 9

Severe gastroenteritis
Systemic infection (UTI, meningitis)
Diabetic ketoacidosis

Question 10

In a vomiting child, what would bulging fontanelle or seizures be a red flag for?

Answer 10

Raised ICP

Question 11

In a vomiting child, what would failure to thrive be a red flag for?

Answer 11

GORD
Coeliac
Other chronic GI conditions