Pediatric surgery Flashcards
Total body weight is a surrogate for
total blood volume = 80 ml/kg
isotonic IVF given at rate
10-20 ml/kg
pRBC is given at rate
10 ml/kg
newborn enteral caloric requirement
100-120 kcal/kg/day
newborn parenteral caloric requirement
90-100 kcal/kg/day
newborn is expected to gain weight at what rate
15-30 g/day
what is the 4-2-1 rule
4 ml/kg/hr for first 10 kg
2 ml/kg/hr for second 10 kg
1 ml/kg/hr for every kg over 20 kg
difficulty clearing secretions, regurgitation of saliva, respiratory difficulty during feeds
inability to pass oro or nasogastric tube
esophageal atresia or tracheoesophageal fistula
coiling of orogastric tube in upper chest on XR
esophageal atresia
presence of gas in GI tract with coiling of tube in upper chest
tracheoesophageal fistula
what does VACTERL stand for
vertebral, anal, cardiac, tracheoesophageal, renal, limb
what is tetralogy of fallot
pulmonary stenosis, VSD, overriding aorta with deviation of the origin to the right side, concentric rightt ventricular hypertrophy
choledochal cysts can lead to
portal hypertension cholangitis carcinoma duodenal obstruction pancreatitis cholelithiasis
treatment of a type III choledochal cyst
ERCP with marsupialization of cyst if small
if large, transduodenal excision with preimplantation of pancreatic duct
treatment of inguinal hernia in baby
reduction then 24-48 hrs observation then operative repair
double bubble sign
duodenal atresia
treat with duodenoduodenostomy
Meckel diverticulum in a kid
just do diverticulectomy
absolute contraindication for liver transplant for hepatoblastoma
persistent pulmonary mets non responsive to neoadjuvant chemo
when to use indomethacine
to keep ductus arteriosus open
how to close ductus arteriosus
increasing oxygen tension and drop in pulmonary vascular resistance and decrease prostaglandin levels
target sign
intussusception
soap bubble sign and CF
meconium ileus
Soave procedure
a submucosal endorectal dissection is performed and the normal bowel is placed within a cuff of ganglionic muscle
designed to avoid injury to pelvic structures inherent in the Swenson procedure
Kimura procedure
staged procedure in which the right colon is anastomosed side to side to the ileum
Swenson procedure
removal of ganglionic colon with end to end anastomosis above the anal sphincter
Duhamel procedure
bringing normal colon down through the retrorectal space
Martin procedure
side to side anastomosis between the normal innervated small bowel and aganglionic left colon
