Peds GI/GU Flashcards
Cholestasis in newborn
alpha-1 antitrypsin
Galactosemia caused by what infx
E. Coli septicemia
Fitz-Hugh-Curtis
Pain in liver capsule from ascending infx.
What factor causes pain during mestrual cramps
Prostaglandin
UTI in kids tx
Bactrim
Resistant UTI in kids
Cipro
Orthostatic Protenuria
2-5% of normal adolesents
what is cryptorchidism
failure of testes to descend.
when to surgically correct cryptorchidism
1 year old
Breast mild jaundice
Hyperbili for 4-7 days … tx: supplement with formula
Decreased urine,
HTN,
facial and pretibial swelling
Nephritic Syndrome (coca-cola urine)
why measure complement in kidney dz
low C3 means postinfectious AGN or MPGN
best tx for bed wetting like monosymptomatic enuresis
- alarm
- desmopressin
- TCAs
large flank masses
pulmonary hypoplasia
Potter faces
Auto Recessive PKD
What is Potters faces
flattened ears/nose, micrognathia from oligohydramnios
Monosymptomatic Enuresis
twice a week after age 5
mcc renal insufficiency/obstruction
posterior urethral valves
Wilms Tumor age and presentation
nephroblastoma
age 2-5 with large flank mass and no symptoms
cyclical vomiting syndrome
recurrent predictable vomiting in kid
associated with abdominal migraines
Mesenteric Adenitis
mistaken for appendicitis
delayed passage of meconium
Meconium Ileus or
Hirschsprungs
Meconuim ileus cause
CF
Orchitis from?
Mumps (think foreign non-vaccinated kid)
wilms tumor associate with what syndromes
WAGR (wilms, aniridia, genitoruinary, retardation)
Beckwith Wiedemann
Denys-Drash
wilms tumor metastasizes where
lungs
triple bubble with gasless colon
Jejunum atresia
bloody stools,
abdominal distention
pneumotosis intestinalis from NEC
Top 4 causes of Intussuscpetion
- viral gastroenteritis
- Meckels
- polyps
- Hematoma from Henoch-Schonlein
Meckels scan
technicium 99
what enzyme conjugates bilirubin
UGT
what de-conjugates bilirubin
intestinal B-glucuronidase
physiologic jaundice of newborn
high hematocrit
sterile gut
resolves day 4
Red urate crystals in stool
signs of infant dehydration. Check for more than 7% wt. loss
breast feeding failure jaundice tx
promote breast feeding to promote fecal urobilinogen
threshold for phototherapy
12-20mg/dL?
Common associations with Celiac
DM1 Dermatitis Herpetiformis (itchy skin rash)
anyone with UTI wearing diapers needs
straight catheterization and culture instead of clean-catch
Hepatomegally
Jaundice
Pale Stools
Biliary Atresia
how do you dx biliary atresia
U/S
biliary atresia tx
Kasai procedure (Hepatoenterostomy)
what level is conjugated hyperbilirubinemia
> 20% of total bili
breast milk jaundice when
week 2
Crigler-Najjar/ Gilberts enzyme?
UDP-GT deficiency
Alloimmune Hemolytic Disease may result in
conjugated or un-conjugated
Erythroblastosis fetalis
unconjugated hyperbili and Coombs +
physiologic jaundice
conjugated or un-conjugated
resolves in 1st week of life
unconjugated
bloody stools
milk enterocolitis intussuception meckels e. coli shigella campylobacter?
Beckwith Weidman
Macroglossia
Omphalocele
dysregulation 11p15
Wilms Tumor!
Fitz Hugh Curtis
Liver capsule inflamm from ascending pelvic infx
