Pediatrics

Question 1

What are the different types of jejunoilial atresia?

Answer 1

I: Size mismatch (SB + atretic segment)

II: Size mismatch with space between small bowel and atretic segment

IIIa: Triangular mesenteric defect

IIIb: Apple peel atretic segment

IV: Multiple segments

Question 2

At what weight cut off would you consider peritoneal drain for NEC vs laparotomy?

Answer 2

<1500g

Question 3

At what ages should you consider orchiopexy for undescended testicles? What cancer are these patients at risk for if left untreated?

Answer 3

Age greater than 1; must fix before puberty.

At risk for gonadoblastoma initially but seminoma in the long run

Question 4

What pyloric channel length do you see in a patient with pyloric stenosis?

Answer 4

> 16mm

Question 5

What is an acceptable gap for fixing a long gap esophageal atresia?

Answer 5

2-3 vertebral bodies. Delayed repair is recommended therefore often open G tube is the first procedure

Question 6

When performing a repair of esophageal atresia, what is the most likely surgical approach?

Answer 6

Right thoracotomy because the majority of these defects occur at the carina

Question 7

What should you do in a baby with non-palpable testis?

Answer 7

Laparoscopy– ultrasound has only 45% sensitivity for finding the testis intraabdominally

Question 8

A lateral sacral ratio greater than what will likely predict fecal continance?

Answer 8

> 0.7