surgical

Question 1

projectile vomiting, lump in stomach moving from left to right, milk vomit (not yellow/green)

Answer 1

pyloric stenosis

Question 2

full resuscitation for days

Answer 2

required for anaesthetic for operation for metabolic upset

Question 3

intussception

Answer 3

obstruction outside stomach, wet jelly nappy, makes a fuss

Question 4

intussception on US

Answer 4

head on target lesion, kidney bean on side

Question 5

clinical signs

Answer 5

child floppy, getting sicker, stomach knotting

Question 6

management on intususs

Answer 6

radiology - tube push w/ air back, not always requiring surgery

Question 7

hurting when going round corners, speed bumps etc.

Answer 7

peritonitis

Question 8

appendicitis temperature

Answer 8

usually slight, not massively e.g 40

Question 9

firm little blue dot tenderness bead-like scrotum

Answer 9

fine to send home if point of tenderness is specific
(most likely torsion (twisted) hyatid of morgagni)

Question 10

torsion of tesicle - black

Answer 10

less common, dont want to miss

Question 11

redness in scrotum, perineum and groin, not sore, comes quickly, disappears quickly

Answer 11

idiopathic scrotal oedema - no operation required, antibiotics

Question 12

management of slightly tight foreskin (age 7-9)

Answer 12

betonovate cream ? maybe steroid

Question 13

whiteness in foreskin, scarring

Answer 13

BXO , management - circumcision

Question 14

foreskin pulled back

Answer 14

paraphymosis

Question 15

willy glow in dark ?

Answer 15

hydrocele * or might be obstructed hernia

Question 16

when cant feel testicle

Answer 16

soap on hand, palpate across inguinal canal towards scrotum, or go into abdomen (US is mostly waste)