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GI--Wk 3 > Peds GI Surgery > Flashcards

Peds GI Surgery Flashcards

1
Q

Procalcitonin

A

new marker of inflammation

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2
Q

Malrotation

A

midgut herniates at 4th week

bilious emesis

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3
Q

Ladd’s procedure

A

evisceration and detorsion of malrotated bowel

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4
Q

Pyloric stenosis

etiology

A

hypertrophic pyloric muscle
present in months after birth
improper innervation of pyloric smooth muscle

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5
Q

Vomiting in pyloric stenosis

A

projectile, non-bilious vomitting

baby acts hungry

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6
Q

PE pyloric stenosis

A

palpable “olive” in RUQ

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7
Q

How to Dx pyloric stenosis now

A

ultrasound

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8
Q

Intussesception

A

inversion of one portion of the intestine into the other

common in ileo-colic junction

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9
Q

Sx of intussesception

A

“currant jelly stools”
colicky abdominal pain
bilious emesis

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10
Q

Currant jelly stools caused by

A

intussusception

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11
Q

Tx of intussusception

A

barium enema

surgery if recurs a third time

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12
Q

Etiology of appendicitis

A

lymphoid hyperplasia
focolith
foreign body

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13
Q

Pathophys of appendicitis

A

obstruction of appendix traps bacteria within

could be stool

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14
Q

Pain in appendicitis

A

starts periumbilical

anorexia then pain then nausea/emesis

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15
Q

Psoas sign

A

retrocecal appendix

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16
Q

Obturator

A

hip flexed then internal rotation is painful

17
Q

Rovsing sign

A

push LLQ hurts in RLQ

18
Q

Bladder in appendicitis

A

sterile pyuria

secondary inflammation of bladder because it’s next to appendix

19
Q

Meckel’s diverticulum

A

true diverticulum

rule of 2s

20
Q

Why does Meckel’s diveriticulum bleed?

A

gastric tissue in diverticulum

21
Q

Hirschsprung disease

A

absence of ganglion in myenteric and submucosal plexus

22
Q

Failure to pass meconium in 25 hr

A

Hirschsprung’s disease

23
Q

Dx of Hirschsprung’s

A

full thickness rectal Bx

24
Q

Gastroschisis

A

omphalocele without covering

GI--Wk 3 (11 decks)

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