Pediatric Clinical Med Flashcards
1
Q
What is the cause of breast feeding jaundice?
A
- Combination of baby knowing how to nurse and mom’s milk not coming in the right way
2
Q
What exacerbates breastfeeding jaundice?
A
- Mild to moderate dehydration and increased enterohepatic circulation in the baby
3
Q
What is the cause of breast milk jaundice?
A
- Not completely understood
- Likely some factor in the breast milk that inhibits the conjugation of bilirubin
4
Q
How long can breast milk jaundice last?
A
- 3-6 weeks
5
Q
When does breastfeeding jaundice present?
A
- In the first week (inadequate milk intake)
6
Q
When does breast milk jaundice present?
A
- 1-12 weeks (baby is well fed)
7
Q
What is the direct Coombs test?
A
- Performed directly on the patient’s RBCs
8
Q
When is the direct Coombs test used?
A
- Situations where hyperbilirubinemia is felt to result from hemolysis, especially in ABO incompatibility in newborns
9
Q
What does the direct Coombs test look for?
A
- Antibodies directly on the RBCs of the baby
10
Q
What is the indirect Coombs test?
A
- Performed on the serum from a blood sample
11
Q
When is the indirect Coombs test used?
A
- To look for antibodies that could bind to certain RBCs leading to problems if blood mixing should occur
- Like in transfusions
12
Q
What is the most helpful study to quantify the severity of reflux?
A
- 24 hour intraesophageal pH and impedance monitoring
13
Q
What will labs show in someone with pyloric stenosis?
A
- Hypochloremic
- Hypokalemic
- Metabolic alkalosis
14
Q
How is the diagnosis for Hirschsprung disease made?
A
- Failure to pass meconium within the first 24-48 hours of life
15
Q
What is suggestive of Hirschsprung disease?
A
- Palpable stool in/throughout abdomen
- Empty rectal vault
- History of never having an unassisted stool
