peds gi 2 test 2 Flashcards
– the most common chronic childhood disease
Dental caries
Dental caries cause what
failure to thrive,
impaired speech development,
inability to concentrate,
absences from school
when do permanent molars come in
6 yo
By _____ of age, every child should begin to receive oral health risk assessments from a health professional
6 mo
risk factor for bad teeth
bed bottle
low fluoride in water
paci / thumb sucking
not brushing teeth
when show oral examination happen
by an oral pro
within first 6 months and no later than 12 mo
every 6 months
80% of esophageal foreign bodies are in children – usually between ____ and ____ of age
6 months and 3 years
t/f FB More common in children with developmental delays and psychiatric disorders
t
t/f 30% of foreign body ingestions in kids may be totally asymptomatic
t
symptoms of Esophageal Foreign Bodies
stridor, wheezing, cyanosis or dyspnea may be present
choking, gagging, and coughing
excessive salivation, dysphagia, food refusal, emesis or pain
how do you eval esophageal foreign bodies
Plain films
AP and lateral of neck and chest
AP of abdomen
how do coins look on films
flat on AP and edge on lateral films
t/f Plastic wood, glass, aluminum and bones are easily seen
false can be radiolucent
tx for foreign body
throw them in your trunk
endoscopic visualization of object and removal
(batteries cause injury in 4 hrs)
causes painless rectal bleeding
Meckel diverticulum
what age does malrotation happen
1 year of life over half in first month
most common presentation of malrotation
vomiting (bilious)
recurrent abd pain (colic)
Occurs when the small bowel twists around the superior mesenteric artery leading to vascular compromise of the bowel
malrotation volvulus
how do you confirm volvulus
contrast radiographic study (UGI)
tx for malrotation
surgery - bands and adhesions lysed (the band was not good
:(
Developmental disorder of the enteric nervous system – absence of ganglion cells in the submucosal and myenteric plexus
Hirschprung disease
congenital aganglionic megacolon
Hirschprung disease
where does Hirschprung disease occure
Limited to the rectosigmoid in 80% of patients
Long segment disease in 10 – 15% patients
Hirschprung disease manifestations
distended abdomen,
failure to pass meconium,
bilious emesis
what is enterocolitis
caused by hirschprung
secondary to dilatation of the bowel
intraluminal pressure increase
deterioration of the mucosal barrier
bacterial proliferation
gold standard dx for hirschprung
rectal suction biopsy (get the dyson out)
can do contrast enema in kids older than 1
hirschprung tx
surgery - cut out not good colon
1st several months of life – irritability, protracted vomiting and diarrhea
Vomiting usually occurs 1 – 3 hours after eating
If continued exposure -> abdominal distention, bloody diarrhea, anemia and failure to thrive
milk and soy protein allergy
First few months of life
Blood-streaked stools in otherwise healthy infants
60% occur in breast-fed infants
Food protein-induced proctocolitis
First few months
Diarrhea, steatorrhea, poor weight gain
Protracted diarrhea, vomiting, FTT, abdominal distention, early satiety and malabsorption
Cow’s milk sensitivity and Celiac are examples
Food protein-induced enteropathy
