Surgery Flashcards
What is pyloric stenosis?
stenosis of the pyloric sphincter lol
How does pyloric stenosis present?
Lump on abdomen
Projectile vomiting - esp after feeding
non-bilious, milky solution
What can be visualised on USS in pyloric stenosis?
The pyloric sphincter, it should not normally be seen
What is the management for pyloric stenosis?
Paramyotomy - incision into muscle of the sphincter
What age does pyloric stenosis most commonly occur?
3-6wks, uncommon over 3 months
What is intusucception ?
‘telescoping’ of the small bowel
What age does intusucception affect?
Patients can be any age, most common 5-12 months.
How dos intussucpetion present?
Red-currant jelly stool
Colicky pain (pulling legs up)
bilious vomit
sausage-like mass on stomach
how is intussuception treated?
Air reduction
What is appendicitis?
inflammation of the appendix
How does appendicitis present?
Peritonitis (dislikes bumps on way to hospital)
Pyrexial
Pain starting centrally and migrating to mcburneys point
What is seen on USS in appendicitis?
The appendix! If it can be seen, it’s likely inflamed
What is likely if a child’s vomit mossy-green/dark?
Obstruction
What happens in malrotation?
Ascending colon is pulled up, ileum is dragged down and they rotate around each other; likely causing ischaemia
What are the most common causes of acute scrotum?
persistent mullerian duct structure
