Peds GI

Question 1

Muscular hypertrophy of pylorus Regurgitation, vomiting (projectile possible) Hungry baby. Post-prandial distention, peristaltic wave, olive-like mass Surgical

Answer 1

Pyloric stenosis

Question 1

Obstruction from thickened meconium. Distended abd, failure to pass meconium in first 48hrs. H20 soluble contrast enema

Answer 1

Meconium Ileus

Question 2

Repeated urination into clothing/bed of child chronologically >5yrs. 2x/wk for 3mos

Answer 2

Enuresis

Question 2

Failure of enteric nervous system to develop properly. Aka congenital megacolon–>no peristaltic wave. Failure to pass meconium. Vomiting, abd distention, reluctance to feed. Distended bowel, palpable fecal mass. X-ray; barium enema

Answer 2

Hirschsprung Disease

Question 3

Seen most commonly (1) introduction of solid food, (2) toilet training, (3)start of school

Answer 3

Constipation

Question 5

Paroxysmal crying occurring mainly late afternoon Rule of threes: cris >3hrs/day, for >3days, for >3weeks Should outgrow

Answer 5

Colic

Question 6

Slit like tear in anus Crying w/ pooping. BRBPR

Answer 6

Anal Fissure

Question 7

Abnormal anorectal termination.

Answer 7

Imperforate Anus

Question 8

Muscular hypertrophy of pylorus Regurgitation, vomiting (projectile possible) Hungry baby. Post-prandial distention, peristaltic wave, olive-like mass Surgical

Answer 8

Pyloric stenosis

Question 9

Small bowel twists around superior mesenteric artery. Billous emesis and tender abd. Distention, guiac positive/frank blood

Answer 9

Volvulus

Question 11

Telescoping of small bowel into large bowel Acute onset severe pain (can be wavelike), v/d (currant jelly). Tender abd, distention, sausage-shaped mass. Saline or air enema. Surgery

Answer 11

Intussusception

Question 12

Repeated defecation in inappropriate places in child >4

Answer 12

Encopresis

Question 13

Occurs 1/mo for at least 3mos

Answer 13

Recurrent Abd Pain