Pediatric GI Disease Flashcards
atresia
discontinuity of a lumenal structure
polyhydramnios
too much amniotic fluid
tracheo-esophageal (TE) fistula
failure of normal separation of intestinal/respiratory tracts; most cases also have esophageal atresia
How do tracheo-esophageal cases present?
Prenatal: polyhydramnios
Postnatal: choking with feeds, inability to swallow oral secretions;
Test for TE fistula
H&P; passage of feeding tube into upper GI; do imaging
Treatment for TE fistula
surgery
most common type of TE fistula
upper esophagus ends in blind pouch (atresia) with distal esophagus connecting to trachea
What can bilious s nonbilious vomiting tell you?
location of blockage
What else is associated with TE fistula
1/2-2/3 have other associated anomalies, esp cardiac defects
Infantile hypertrophic pyloric stenosis
non-bilious, projectile vomiting (70%) associated with upper abdominal mass (60-80%); usually presents around 3 weeks of life
Diagnose infantile hypertrophic pyloric stenosis
H&P, ultrasound
how to treat Infantile Pyloric Stenosis
surgery – pyloromyotomy
is pyloric stenosis more common in males or females?
Males (4:1)
Meckel Diverticulum
abnormal remnant of vitelline (omphalomesenteric) duct (connection between yolk sac and intestine)
Demographics of Meckel Diverticulum
most common malformation of small intestine
