Pediatric Surgery

Question 1

What is Murphy’s Triad ?

Answer 1

Signs of classical appendicitis:

Pain]
Vomiting
Fever

Question 2

What are the 3 common complications of classical appendicitis ?

Answer 2

Abscess
Mass
Peritonitis

Question 3

What are some of the features of non-specific abdominal pain ?

Answer 3

Short duration.
Central.
Constant.
No GIT disturbance.
No temp.

Question 4

What are some of the symptoms of pyloric stenosis ?

Answer 4

Non-bilious vomiting “projectile”

Weight loss

Question 5

How do you diagnose pyloric stenosis ?

Answer 5

Capillary gas:

Alkalosis
Hypochloraemia
Hypokalaemia

Question 6

How do you treat/manage pyloric stenosis?

Answer 6

Test feed.
IV Fluid
US
Periumbilical pylormyotomy

Question 7

How does malrotation present ?

Answer 7

3 day old baby with bile vomiting “fairy liquid” green.

Question 8

How do you diagnose Malrotation and treat it ?

Answer 8

Upper GI contrast study ASAP

Laparotomy ASAP

Question 9

What is Intussusception?

Answer 9

Intussusception is a condition in which one segment of intestine “telescopes” inside of another, causing an intestinal obstruction (blockage).

Question 10

How would a baby with Intussusception present ?

Answer 10

6-12 months
3 day hx of viral illness then intermittent colic.
Bilious vomiting
Bloody PR mucous

Question 11

How do you investigate and manage Intussusception ?

Answer 11

USS Abdomen “target sign”

Pneumostatic reduction and laparotomy

Question 12

What is Gastroschisis ?

Answer 12

Abdominal wall defect

Question 13

What is Exophalos ?

Answer 13

Umbilical defect with covered viscera with associated anomalies.