PEDS 911

Question 1

Infant under 3 months, fever over 100F

Answer 1

Take to Dr.

Question 2

Do breastfed infants have BMs every day?

Answer 2

They may not - breast milk doesn’t make for a great deal of waste.

Question 3

Describe Intestinal Rotation

Answer 3

It is usually a congenital disorder of the intestine that predisposes the intestines to kinking (i.e. volulus)

It usually presents in the 1st year of life with colic, bilious (usually) vomiting and FFT if acute but milder forms may be misdiagnosed into adulthood until a full on volvulus occurs

Upper GI Endoscopy is the imaging test of choice

Intestinal decompression, stabilization and then surgery

Question 4

Sudden onset bilious vomiting, think

Answer 4

Obstruction, usually small bowel

Question 5

Malrotation imaging test

Answer 5

UGI endoscopy

Question 6

Air Enema is the 1st line Rx

Answer 6

Intussusception

Question 7

Intermittent “knees drawn up” belly pain in infant with current jelly stool:

Answer 7

Intussusception

Telescoping of one intestinal portion inside another - big trouble

Question 8

Most common shock in Peds

Answer 8

Dehydration/Hypovolemia

BEWARE!!! PEDS Bps stay high until 40% of blood is lost then they CRASH!!

Assist Respirations + Get IV fluids into any shock kid ASAP

Question 9

1 Cause of Death in PEDS under 1

Answer 9

Trauma/TBI