PEDIA Gastro

Question 1

Telescoping or invagination of one portion of the bowel into the other

Answer 1

Intussusception

Question 2

Obstruction to passage of intestinal contents

Answer 2

Intussusception

Question 3

Most commong cause of intestinal obstruction in children < 3 yr

Answer 3

Intussusception

Question 4

Intussusception Assessment: VAP

Answer 4

Vomiting
Abdominal Pain
Passage of Blood per rectum

Question 5

Intussusception Assessment: Triad

Answer 5

Colicky Abdominal Pain
Currant Jelly Stool
Sausage-shaped Mass

Question 6

Intussusception Assessment: Colicky abdominal pain

Answer 6

scream and draws knees to abdomen

Question 7

Intussusception Assessment: Currant jelly stool

Answer 7

contains blood and mucus

Question 8

Intussusception Assessment: Sausage shaped mass

Answer 8

URQ on palpation

Question 9

Intussusception Interventions: Monitor for –

Answer 9

perforation and shock

Question 10

Intussusception Interventions: Antibiotics, IV fluids and decompression via –

Answer 10

NGT

Question 11

Intussusception Interventions: Indications that intussusception has reduced itself

Answer 11

Passage of normal, brown stool

Question 12

Intussusception Interventions: Air or fluid exerts pressure on are involved to lessen, diminish or rid the intestine of prolapse

Answer 12

Hydrostatic Reduction

Question 13

Aganglionic Megacolon

Answer 13

Hirschprung’s Disease

Question 14

Absence of ganglion cells needed for peristalsis

Answer 14

Hirschprung’s Disease

Question 15

Hirschprung’s Disease Assessment: Neonatal Period (2)

Answer 15

Abdominal Distention
Failure to pass meconium within 24 hours

Question 16

Hirschprung’s Disease Assessment: RCFDV

Answer 16

Ribbon like stool
Constipation
Foul smelling stool
Diarrhea
Vomitus of fecal materials

Question 17

Hirschprung’s Disease Diagnostic: Reveal narrowed portion of the bowel

Answer 17

Barium Enema

Question 18

Hirschprung’s Disease Diagnostic: Reveals absence of ganglion cells

Answer 18

Rectal Biopsy

Question 19

Hirschprung’s Disease Diagnostic: Reveals dilated loops on intestines

Answer 19

Abdominal X-ray

Question 20

Hirschprung’s Disease Diagnostic: Reveals failure of intestinal sphincter to relax

Answer 20

Rectal manometry

Question 21

Hirschprung’s Disease Management: Feeding

Answer 21

NGT

Question 22

Hirschprung’s Disease Management: NGT measurement - Infant

Answer 22

Nose-Ears - Middle of xiphoid process and umbilicus

Question 23

Hirschprung’s Disease Management: NGT measurement - Adult

Answer 23

Nose-Ears - Xiphoid process

Question 24

Hirschprung’s Disease Surgery (2)

Answer 24

Temporary Colostomy
Anastomosis and Pull through procedure

Question 25

Hirschprung’s Disease Diet: Increase –

Answer 25

CHON, Calorie

Question 26

Hirschprung’s Disease Diet: Decrease –

Answer 26

Residue diet (pasta foods)

Question 27

Hirschprung’s Disease Diet: Avoid –

Answer 27

Raisin/ prunes

Question 28

Hirschprung’s Disease Complication: Most serious

Answer 28

Enterocolitis

Question 29

Hirschprung’s Disease Complication: Enterocolitis S&Sx (4)

Answer 29

Fever
Severe prostation
GIT bleeding
Explosive watery diarrhea