Surgical cases Flashcards

1
Q

growth and texture of an external angular dermoid

A
  • grows slowly - not usually noticed until 3-6 months of age

- can feel hard as it lies under the periosteum

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2
Q

complications of large haemangiomas

A
  • compression of adjacent structures
  • secondary haemorrhage
  • high cardiac output failure
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3
Q

what are some signs of hydrocephalus

A
  • increased head circumference
  • frontal bossing
  • widened sutures
  • bulging fontanelles
  • dilated veins
  • setting sun eyes
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4
Q

double bubble AXR is a sign of

A

duodenal atresia

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5
Q

management of external angular dermoid

A

excision through the eyebrow

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6
Q

typical presentation of a thyroglossal cyst

A

tense round cyst in the midline or just to one side which moves on swallowing and on protrusion of the tongue

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7
Q

which cutaneous things can be markers of spina bifida if over the spine

A
hair patch
pigmented naevus
haemangioma
lipoma
sinus
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8
Q

complications of torticollis

A

hemihypoplasia of the face

plagiocephaly

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9
Q

difference between exomphalos and gastroschisis

A

exomphalos - bowel goes into the umbilicus

gastroschisis - bowel through the abdominal wall (with no covering)

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10
Q

what causes a tongue tie

A

when the lingual frenulum is very short

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11
Q

natural history of a strawberry naevus

A

appear shortly after birth as a bright red spot –> rapidly grows - continues for 3-4/12 –> gradual involution begins at around 1 year –> complete by 6-8 years

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12
Q

sunsetting eyes is pathoneumonic for

A

hydrocephalus of the 4th ventricle

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13
Q

common complications of cleft lip and palate

A
  • ear nose and throat problems
  • abnormal eustachian tube function –> high incidence of OM
  • dental/orthodontic problems
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14
Q

most common cause of Erb’s palsy in infancy

A

trauma to the brachial plexus during birth (usually breech)

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15
Q

what is Hirschprungs disease

A

Hirschsprung disease is a developmental disorder characterized by absence of ganglia in the distal colon, resulting in a functional obstruction

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16
Q

lumps in paediatrics are:

A

inflammatory
congenital OR
cancer

17
Q

cause of external angular dermoid

A

anomaly of fusion between the fronto-nasal and maxillary processes during formation of the head and face
- contains skin secretions and peeled skin

18
Q

causes of a white reflex in children

A

cataracts
retinal tumours
colobomas

19
Q

typical feel of a sternocleidomastoid tumour

A

hard spindle shaped, painless swelling in the substance of the SCM

20
Q

why does a sacrococcygeal teratoma need immediate surgical removal

A

has a high risk of turning malignant postnatally

21
Q

what is a strawberry naevus

A

capillary haemangioma (vascular malformation)

22
Q

what causes a primary cleft anamoly

A

failure of the mesoderm to merge between the fronto-nasal process and the maxillary process of the first branchial arch between 4-7 weeks gestation