Pediatrics

Question 0

Jejunoileal atresia has differing presentations dependent upon the level of obstruction. How does it prevent with proximal obstruction vs distal obstruction?

Answer 0

Proximal obstruction: abdominal distention is less frequent, but bilious emesis is usually present

Distal obstruction: abdominal distention usually present

Question 1

The cause of jejunoileal atresia is

Answer 1

An intrauterine focal mesenteric vascular accident

–jejunoileal atresia IS NOT associated with other abnormalities. The one exception is cystic fibrosis

Question 2

What does AXR reveal for jejunoileal atresia:

Answer 2

Air-fluid levels with absent distal gas

Question 3

Why is preoperative barium enema useful in jejunoileal atresia

Answer 3

It may be useful to exclude multiple atresias, which may be present in 10-15% of cases

Question 4

The treatment of jejunoileal atresia is

Answer 4

To reestablish intestinal continuity. It is imperative to preserve as much intestinal length as possible

Question 5

Treatment of an infantile hemangioma is

Answer 5

Observation

–most resolve by age 7-8