Peds GI@ Flashcards
T/F: Young children dx with UC or indet colitis usually end up becoming Crohns later
True
Sxs of cows milk colitis?
Blood and mucous in stool btwn 2-6 wks old, usually no sx of pain or d/c with stooling.
Tx of cows milk colitis?
Remove dairy from mom’s diet, use hydrolyzed infant formula
Which kids get more growth fx - Crohns or uC?
Crohns - so if UC & growth fx, should ensure not Crohns
T/F: BRAT diet can be useful in viral diarrhea in kids?
False - regular diet and ORT is best
What is congenital chloride diarrhea?
Polyhydramnios, sec diarrhea, met alk, nl endoscopies - need K and Cl supplementation for life
What is chronic nonspecific diarrhea of childhood (CNSD)
Ages 1-3 and last til 5 yo - nonbloody diarrhea, worsens as day goes on, no overnight sxs - may see undigested foods
T/F: Chronic nonspecific diarrhea of childhood (CNSD) is AW wt loss?
False
How to tx CNSD?
Reassurance
Three criteria for pediatric AP?
- Abd pain
- Elevated A/L > 3x ULN
- Imaging of
How does AP differ in kids and adult?
Location of pain does not need to be epigastric - can be all over abdomen
Liver bx findings in Alagilles?
Intrahepatic cholestasis w paucity of intrahep bile ducts and minimal inflammation
Describe findings in Alagilles syndrome
Triangular face, butterfly vert
What genetic defects in Alagilles?
Notch2 or JAG1
If suspect Hirschsprung in newborn, what test to do first for workup?
If < 39 days old, contrast enema or ARM
If > 39 days old, rectal suction bx (not as good in first 39 days)
What is first step if someone presents with tylenol OD within first 8 hours?
Get tylenol, ASA, LFTs - can await tylenol level prior to starting NAC in order to see where pt falls on normogram
List sxs in 4 stages of tylenol OD
I - 24 hours - anorexia, N/V
II - 24-48 hours - improvement in clinical status but worsened LFTs
III - 48-96 hours - hepatic stage - all sxs an liver fx
IV - 96 hours-2 weeks - recovery phase
What is copper quant in Wilsons dz on bx?
> 250mcg Cu/g of liver
What are sens and spec of celiac ABs?
> 95% each
If tx needed, what can be used to tx giardia?
Metro, quinacrine, paromycin, or furazolidone
T/F: Pt with DM1 may get annual TTG testing due to high risk of celiac dz.
True
T/F: Kids usually dx with colitis, however, as they age it becomes apparent they have Crohns.
True
T/F: Kids with IBD at young age tend to have a less severe course than adult onset.
False, have a more severe course
Which (UC or CD) is growth failure associated with in kids?
CD - if dx with UC and growth fx consider if it is correct dx
