surgery r LO

Question 1

what is malrotation

Answer 1

abnormality of the bowel
can cause volvulus (tissue death due to hypoxia because it cuts off it’s own blood supply)
causes intestinal obstruction

Question 2

what can cause intestinal obstruction in children

Answer 2

malrotation

intussusception

Question 3

presentation of intestinal obstruction

Answer 3

bilious vomiting
abdominal pain and distention
failure to pass stools
abnormal or absent bowel sounds

Question 4

what is intussusception

Answer 4

invagination of one portion of bowel into the lumen of the adjacent bowel, most commonly around the ileo-caecal region

Question 5

presentation of intussusception

Answer 5

‘dying spells’ child curls up, becomes pale and floppy
bilious vomiting
colic pain
red stool - late sign

Question 6

management of intussusception

Answer 6

medical emergency
pneumostatic reduction
laparotomy

Question 7

presentation of an inguinal hernia

Answer 7

groin lump
disappears when lying down
can become incarcerated

Question 8

management of inguinal hernia

Answer 8

urgent referral for surgery if <1

elective referral if >1