Surgical Conditions in Newborn

Question 1

12 hr old newborn
frothing at the mouth of secretions
cyanotic lips and nailbed
regurgitates when milk is given

Answer 1

Esophageal Atresia w/ TEF

frothing and bubbling of mouth and nose
cough, cyanosis, respiratory distress

inability to pass NGT or OGT in the newborn - suggestive

Question 2

Management of TEF

Answer 2

maintain patent airway
prone position
SURGICAL LIGATION OF TEF and PRIMARY END-TO-END ANASTOMOSIS OF THE ESOPHAGUS

Question 3

tachypnea, grunting, use of accessory muscles + cyanosis at the 2nd hr of life

scaphoid abdomen
PMI - near the sternal side

Answer 3

Congenital Diaphragmatic Hernia

Bochdalek - MC type

Question 4

Closure of the abdominal musculature is incomplete and the abdominal viscera herniate into a ventral membranous sac

Answer 4

Omphalocele

w/ associated defects (OEIS complex)

Question 5

Another ventral wall defect similar to omphalocele except that it involves all of the layers of the abdominal wall, from the peritoneum to the skin

Answer 5

Gastroschisis

Right

Question 6

preterm baby won’t stop crying
ABDOMINAL DISTENTION w/ abdominal erythema
cries more when touched

Answer 6

Necrotizing Enterocolitis (NEC)

pneumatosis intestinalis - thickened bowel walls and air in bowel wall