Pediatric GI Flashcards
What causes Gastroesophageal Reflux (GER)?
Floppiness of LES
What should you obtain with a child that presents with GER?
Detailed history of vomiting and feeding schedule
Symptoms of GER?
HAPPY spitter, gaining weight and refluxes while smiling
Symptoms of GER?
HAPPY spitter, gaining weight and refluxes while smiling
If the relux is persistent in the child, what will likely manifest?
GERD
GERD symptoms?
Esophagitis and fussiness
– persistent refluxing
GERD symptoms?
Esophagitis and fussiness
– persistent refluxing
What tests should be performed if a child has GERD?
24 hour intra-esophageal pH and impedance monitoring
What tests should be performed if a child has GERD?
24 hour intra-esophageal pH and impedance monitoring
What test should be performed if a child has GERD?
24 hour intra-esophageal pH and impedance monitoring
What can quantify the severity of the reflux?
24 hour intra-esophageal pH and impedance monitoring
Describe impedance monitoring
= measures direction of food bolus movement
- measures changes in resistance to alternating electrical current when bolus passes by a pair of metallic rings mounted on catheter
Describe impedance monitoring
= measures direction of food bolus movement
- measures changes in resistance to alternating electrical current when bolus passes by a pair of metallic rings mounted on catheter
Where does Intussusception usually occur?
Ileocecal junction == ileum invaginating into colon
Symptoms of Intussusception?
Currant jelly - like stools
Abdominal pain and vomiting
RUQ sausage - like mass