Surgical Problems in Childhood Flashcards
define pyloric stenosis
thickening of the stomach wall which prevents passage into the small bowel
presentation of pyloric stenosis
projectile milky vomit at around 6 weeks
bumps on abdomen with waves of peristalsis
diagnosis of pyloric stenosis
increased thickening of the muscle
risk in pyloric stenosis
risk of acid loss leading to metabolic alkalosis
management of pyloric stenosis
fluids
surgery (slice muscle- risk perforation)
define intussusception
this is when a bit of bowel telescopes on itself (sleeve roll)
cause of intussusception
inflammation of Peyer’s patches leading to irritation and bowel movement
presentation of intussusception
6 month old with abdominal pain in cycles
poor feeding
vomit with food and green colour
little stool passage, often with red currant jelly-like blood
bumps on abdomen in mid-gut region that feel like sausages
diagnosis of intussusception
USS shows target lesion and pseudo-kidney
management of intussusception
surgery
radiology blow air up anal canal
define peritonitis
inflammation of the peritoneum
presentation of peritonitis
abdominal pain (jumping) temperature
diagnosis of peritonitis
clinical
USS show thickened wall
management of peritonitis
removal of peritoneum
describe testicular torsion
sore, surgical emergency due to risk of testicular death (4 hours)
describe twisting of hydatid of Morgagni
ovarian duct structure
blue dot
pain
describe idiopathic scrotal oedema
redness in scrotum that can extend to groin
achy
tissue can look waterlogged
no surgery
describe BXO (balanitis xerotica obliterans)
white scar over end of penis that can extend into the urethra
manage with circumcision
define hypospadias
urethra is not coming out of the tip of the penis
hole can be anywhere along the shaft
congenital abnormality
elective surgery
patent processus vaginalis
canal does not close where the testes descend
fluid accumulation at the end of the day
tends to be gone by 4
