Surgical Problems Flashcards
how does pyloric stenosis present?
baby around 6 weeks
projectile vomiting after feeds
swelling in the abdomen
what investigation is done for pyloric stenosis?
USS
what is seen on USS in pyloric stenosis?
thickened muscle around the exit of the stomach
how is pyloric stenosis managed?
surgery
cut along the pylorus
how does intussusception present?
vomiting
mass in the abdomen
“red currant jelly” appearance in nappy
what investigation is done for intussusception?
USS
what is seen on USS of intussusception?
a ‘target lesion’ where layers of bowel are seen telescoping into each other
how is intussusception managed?
enema
if this fails, surgery
how does malrotation + volvulus present?
bilious vomiting
how is malrotation + volvulus investigated?
carry out an upper GI contrast with follow through
how is malrotation + volvulus managed?
prompt surgery
what is the most common cause of acute scrotum?
sorted hydatid
how can the testicle be lost in testicular torsion?
due to necrosis
how does idiopathic scrotal oedema present?
redness and swelling I the scrotum
can spread up the abdomen and down into the peritoneum
what is hypospadias?
external urethral orifice at the bottom of the peas
