Pediatric GI Flashcards
In a pediatric patient what should you suspect when presented with a distended abdomen and no air or stool in the rectum?
GI tract atresia
How is GI atresia treated?
Surgery
Most common cause of GI obstruction in children.
Malrotation
Condition always associated with Meconium ileus (stool that thickens and obstructs the ileum).
Cystic Fibrosis
What should be suspected if a peds patient presents with frothy, bubbly, secretions thru the mouth?
Tracheoesophageal fistula.
Diagnosis and treatment for Hirschsprung disease
Dx: rectal biopsy
Tx: Surgical resection of descending and sigmoid colon and sometimes rectum.
Presentation of a patient with a diaphragmatic hernia.
Flat abdomen and sometimes difficulty breathing.
-this mostly occurs in utero and can impede lung formation (mostly on the left side)
What is suspected with current jelly stools and pain?
Intussusception of the intestines
How does pyloric stenosis present on X-ray?
Classic string sign using barium swallow. A small amount of barium appears in the area of the pyloris that looks like a string.
What 3 conditions lead a physician to remove foreign objects from the GI tract?
- When it gets stuck in the esophagus
- Objects containing mercury or lead
- Greater than 5cm and/or sharp
Classic Triad for appendicitis.
- RLQ pain
- Leukocytosis
- Fever
What is Henoch-Schonlein Purpura and how is it treated?
An autoimmune disease that affects multiple organs systems, most notably the skin. Can affect the bowels and lead to inflammatory bowel disease.
Tx: prednisone
How does ulcerative colitis (UC) appear on X-ray?
The colon has a “lead pipe” appearance
What does a biopsy of a colon in a UC patient reveal?
Crypt Abscesses
Treatment or Cure for UC.
Total Colectomy
