PED: Vomiting And Failure To Thrive Flashcards

1
Q

Infantile Hypertrophic Pyloric Stenosis is what?

A

Pyloric narrowing, patient has non-bilious vomiting, constipation, dehydration signs, and failure to thrive

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

IHPS physical exam?

A

Olive shaped mass, and signs of dehydration

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

Imaging of IHPS?

A

XR, barium swallow, and ultrasound

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

Gold standard imaging for IHPS?

A

Ultrasound.

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

Pre op management for IHPS is what?

A

Fluid resuscitation, given that they vomit and such, surgery has to wait until serum electrolytes and acid-base abnormalities are normal.

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

So what is the surgery for IHPS

A

Ramstedt’s Pyloromyotomy

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

Most common cause of Duodenal obstruction?

A

Duodenal atresia

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

Duodenal atresia has 3 types, which is most common, and explain it

A

Type 1, a “web” is basically blocking the duodenum

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

Clinical features of Duodenal obstruction

A

Bilious vomiting and intolerance of feeding.

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

Ultrasound characteristic sign of duodenal atresia?

A

Double-bubble.

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

Duodenal atresia finding on X-ray and Uktrasound?

A

Double bubble

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

Treatment of Duodenal atresia generally

A

Open surgery or laparoscopic correction

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

Treatment of Type 2 duodenal atresia

A

Diamond-shaped duodenodudenostomy

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

Clinical presentation of malformation if the acute midgut volvulus is incomplete

A

The patient is fine in between the attacks of vomiting

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

Clinical presentation of malrotation if the acute midgut volvulus is complete

A

Abdominal tenderness, bloodstained stools, sick looking patient

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

Malrotation imaging X-ray reveals what

A

Multiple obvious dilated loops

17
Q

Pre op management of Malrotation with obv a mid gut volvulus

A

Urgent resuscitation, antibiotic admin, and nasogastric decompression

18
Q

Operative management of Malrotation

A

Ladd’s procedure

19
Q

In brief, summarize Ladd’s Procedure

A

Untwist the volvulus, divide Ladd’s bands, and straighten the duodenum

20
Q

Which jejuno-ileal atresia type has a Christmas tree anomaly (apple peel)

21
Q

Which Jejuno-ileal atresia type has multiple defected like a string of sausages and looks like type 1 and 3 combined

22
Q

Ultrasound for Jejuno-ileal atresia detects?

A

Dilated bowel loops and Polyhydramnios

23
Q

X-ray for a jejuno-ileal atresia shows?

A

Multiple air fluid levels, and ofc dilated bowel loops

24
Q

What is Meconium Ileus

A

An ileal obstruction due to the presence of abnormally viscid meconium. Essentially meconium causes an obstruction

25
Intussesception clinical signs
Sudden onset of severe abdominal pain, and Dance’s sign upon abdominal inspection
26
X ray shows what for intussusception?
Sausage mass
27
Contrast enema shows what for intusseception?
Cobra head sign
28
Treatment for Intussusception?
Operative reduction via laparotomy
29
Meconium ileus etiology?
Cystic Fibrosis
30
Electrolyte abnormality of Cystic fibrosis?
Hypochloremia