Peds GI

Question 1

Premy and small is risk factor for necrotizing enterocolitis

Answer 1

sad. You have air in the bowel wall

It is why you need to feed so slowly

Question 2

Tx of necrotizing enterocolitis?

Answer 2

TPN, IV broad spectrum antibiotics, NG suction, surgical resection if necrosis

Question 3

5 STAR NEONATE JAUNDICE

Answer 3

oh my

Question 4

Dubin johnson is what kind of bile?

Answer 4

Direct conjugated bilirubin

Same with rotor or baler disease

Question 5

Jaundiced baby with pale stools?

Answer 5

Biliary atresia

Question 6

When is breastfeeding jaundice?

Answer 6

First week, due to dehydration. Breast milk jaundice is after first week

High direct bili

Question 7

Biliary atresia must be repaired in first 2 months, otherwise what?

Answer 7

biliary cirrhosis

Question 8

What can’t you give and why to a neonate with hyperbilirubinemia?

Answer 8

Ceftriaxone Displaces bill from albumin

Mnemonic: Rocephin ok if baby is ROSEY, but not if yellow

Question 9

What is the jaundice if in first 24 hours?

Answer 9

IT IS PATHOLGICA (not physiologic)

Question 10

Jaundiced looking 8 month old but no icteris?

Answer 10

Hypercarotenemia from lots of carrots.

Not dangerous

Question 11

Most common TE fistula?

Answer 11

Upper esoph is blind, lower is blunted and connected to trachea