Pediatric Gastroenterology

Question 1

atresia

Answer 1

• seen with Downs, CF
• distention of gut and no air or stool in rectum
• Tx: surgery

Question 2

meconium ileus

Answer 2

• almost always indicates CF

- symptoms in 24 hours

Question 3

TE fistula

Answer 3

• frothy bubbly secretion, usually after feeding

- Dx via X-ray

Question 4

diaphragmatic hernia

Answer 4

• left sided
• respiratory distress, flat/scaphoid abdomen, hypoplasia of lung
• high mortality

Question 5

intestinal obstruction

Answer 5

• colicky pain
• N/V
• distention

Question 6

intussusception

Answer 6

• 6-24 months
• pain and currant jelly stools
• may feel mass

Question 7

most common cause of strictures in kids

Answer 7

• chemical burns

- DO NOT induce vomiting

Question 8

pyloric stenosis

Answer 8

• usually male
• non-bilious projectile vomiting
• classic string sign on x-ray
• may accompany adrenal hyperplasia

Question 9

indications to remove foreign bodies

Answer 9

• in esophagus
• mercury or lead objects
• greater than 5 cm and/or sharp point

Question 10

recurring abdominal pain

Answer 10

• pain may start with illness but does not resolve
• vague pain
• familial anxiety
• increased school absence
• coincidental major life experience
• negative labs and x-rays

Question 11

intractable diarrhea of infancy

Answer 11

• failure to thrive
• tests all negative
• needs aggressive hyperalimentation

Question 12

chronic nonspecific diarrhea

Answer 12

• greater than 2 weeks of loose stools

Question 13

triad of appendicitis

Answer 13

• RLQ pain
• fever
• leukocytes

Question 14

necrotizing enterocolitis

Answer 14

• premature infants under stress during delivery
• pneumoatosis intestinalis - air in the wall of the bowel - on x-ray there is alternating pattern of air and tissue
• free perforation

Question 15

Henoch-Schonlein purpura

Answer 15

• abdominal pain
• later develop rash (urticaria/purpura)
• prednisone