Brainscape's Knowledge GenomeTM

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


See full index

Year 4 - Paeds > Paeds GI > Flashcards

Paeds GI Flashcards

1
Q

Paeds GORD
- S&S

A

Paeds GORD S&S

  1. Vomiting after feeds
  2. Colicky
  3. Crying
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Paeds GORD -2yo
- DDx

A

Paeds GORD DDx

  1. GORD
    - 1-2 yo
    - 10-20%
  2. CMPI
    - Cow’s milk protein intolerance
    - Ig -> Skin test
    - Non-Ig -> No test
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Paeds GI
- Bowel frequency normal range

A

Normal Paeds BMs

BO 5/week
BO 2/3/day

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

Toddler’s Diarrhoea

  1. S&S
  2. Tx
A

Toddler’s Diarrhoea

  • Symptoms
    1. Pain
    2. Loss of control
  • Tx
    1. Laxatives
    2. Manage infx/anatomy
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Paeds GI
- Use of laxatives

A

Paeds laxatives

  1. Osmotic
    - Movicol
    - 1st line
  2. Stimulant
    - Docusate Na (DulcoEase, Norgalax)
    - Senna (Senokot)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Paeds Celiac Disease

  1. Prevalence
  2. Associations
  3. DDx
A

Celiac disease

  1. 1% prevalence
  2. Association with
    - Williams(-Beuren) syndrome (chr 7)
    - 45, X0 (Turner’s)
    - Trisomy 21 (Down)
  3. Non-celiac Gluten Intolerance
    - Non-inflammatory
    - Non-carcinogenic
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Paeds IBD

  1. Prevalence
  2. DDx
A

Idiopathic IBDs
- (6-12/100,000)

  1. Crohn’s
  2. UC
  3. Unclassified/Indeterminate
    - Review later to establish
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Recurrent Abdominal Pain Syndrome

  1. S&S
  2. Tx
A

Recurrent Abdo Pain Synd

  1. 4-5 episodes per week
  2. Very pale
  3. No D/C/B
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Indirect hernia
- Pathophysiology

A

Indirect hernia

  1. Physiological outpouching of peritoneum
  2. Persistent processus vaginalis
  3. Bowel enters via deep inguinal ring
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Spermatic cord
- Layers

A

Spermatic cord
- Gubernaculum pulls from urogenital ridge

  1. Tunica vaginalis (visceral and parietal)
    - Parietal peritoneum
    - Processus vaginalis obliterated
  2. Internal spermatic fascia
    - External oblique
    - Deep inguinal ring
  3. Cremasteric muscle
    - Internal oblique
  4. External spermatic fascia
    - External oblique aponeurosis
    - Superficial inguinal ring
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Hydrocele

  1. Pathophysiology
  2. Presentation
  3. Management
A

Hydrocele

  1. Tunica vaginalis fluid
    - processus vaginalis not obliterated
  2. Presentation
    - Can follow viral illness
    - Larger at the end of the day
  3. Conservative management
    - Most close within first year
    - Calpol during illness
    - Surgery at 2-3 yo
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Undescended testes

  1. Epidemiology
  2. Management
A

Undescended testes

  1. Epidemiology
    - 1/20 term
    - 1/3 premature
    - From urogenital ridge
  2. Surgery at 6mo
    - EUA
    - Laparoscopy
    - Blood supply from cremaster and vas
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Bell-clapper deformity

  • Presentation
  • Mx
A

Bell-clapper deformity

  1. Horizontal lying testes
    - risk of torsion
  2. Bilateral surgery
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Torsion of Morgagni

  1. Anatomy
  2. Management
A

Torsion of Morgagni

  • Anatomy
    1. Hydatid of Morgagni (appendix testis)
    2. Remnant of mullerian duct

Mx
1. Visible “blue dot” transillumination
- upper half of scrotum
2. Scrotal ultrasound

  1. Surgical removal of infarcted hydatid
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Umbilical hernia
- Mx

A

Umbilical hernia

  1. Self-limiting
  2. Surgery after 2/3 years
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Malrotation/volvulus

  1. Presentation
  2. Management
A

Malrotation/volvulus

  1. Day 2
    - Bilious vomiting
  2. Emergency laparotomy
17
Q

Pyloric stenosis
1. Presentation
2. Management
3. Post-op

A

Pyloric stenosis

  1. Projectile vomiting
    - Alkalosis
    - Low KCl
  2. Surgery
  3. Post-op CO2
    - Respiratory compensation for alkalosis
    - Low respiratory drive after GA
18
Q

Gastroschisis vs Omphalocele

A

Gastroschisis vs Omphalocele

  1. Sac
    - No sac in Gastroschisis
    - Sac in Omphalocele
  2. Outcomes
    - Genetic associations in omphalocele
    - Heat loss in gastroschisis
19
Q

Omphalocele

  1. Prognosis
  2. Associations
  3. Management
A

Omphalocele

  • Prognosis
    1. More than 50% of fetuses will die
  • Associations
    1. Pentalogy of Cantrell
  • CHD
    2. Beckwith-Wiedemann syndrome
  • Better prognosis
  • Management
    1. Cover
    2. NG decompression
    3. Surgery
  • Elective if membranous sac is intact
20
Q

HUS
- Cause
- Triad
- Mx

A

Haemolytic uraemic syndrome

  • Cause
    1. Diarrhoea
  • Shiga toxin EC
  • Shigella
  • Strep. p
    2. Complement abnormalities
    3. 2º
  • Drugs
  • Cancer
  • Triad
    1. MAHA
    2. Thrombocytopenia
    3. AKI (50% dialysis)
    +diarrhoea
    +<5yo
  • Mx
    1. Hydration
    2. Avoidance
  • ABx
  • Antimotility
  • NSAIDs
    2. RBC transfusion

Year 4 - Paeds (11 decks)

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