Surgery

Question 1

6 week old baby, projectile vomiting, lumps in abdomen?

Answer 1

Pyloric Stenosis

Question 2

Cause of pyloric stenosis in 6 week old?

Answer 2

Sometimes the muscle idiopathically thickens at this age

Question 3

Surgical technique for pyloric stenosis?

Answer 3

Pyloromyotomy: dissecting the thickened pyloric muscle

Question 4

Signs of intussusception on USS?

Answer 4

Target sign or kidney been depending on angle

Question 5

Pyloric stenosis cannot be seen on USS. T of F?

Answer 5

False, the stenosis can be seen

Question 6

6 month old, vomiting food then yellow then green, sausage mass and recurrent jelly in nappy

Answer 6

Intussusception

Question 7

Surgical technique for intussusception?

Answer 7

Laparotomy but radiology better where air is pumped up into bowel, works in 75%

Question 8

Child does not like bumps in car journey. What is this a sign of?

Answer 8

Peritonitis (secondary to appendicitis)

Question 9

6 year old, mild temperature, doesn’t like bumpy road

Answer 9

Appendicitis

Question 10

Imaging for suspected appendicitis?

Answer 10

USS

Question 11

Baby vomiting GREEN like fairy liquid in middle of night

Answer 11

Malrotation with volvulus

Question 12

In malrotation with volvulus, why does the baby vomit green?

Answer 12

Bile from pancreas and gall bladder due to wrong anatomy

Question 13

Treatment for volvulus?

Answer 13

Immediately refer to surgery, don’t wait!!! Mostly laparotomy