Surgical problems in children Flashcards
what age is pyloric stenosis more common
6 weeks
features of pyloric stenosis
pyloric stenosis = thickened muscle
projectile vomiting milk
dry nappy for 24 hours
visualise peristalsis as lumps on abdomen
Investigation and management of pyloric stenosis
USS
pyloromymectomy, laparoscopy
what age is intussusception more common
6 months
features of intussusception
telescoping of bowel into itself vomiting food then yellow then green vomit sausage mass in abdomen nappy: red current jelly/ red tinge very sick dehydration comes in waves
Investigations and management of intussusception
USS
resuscitation then radiology to blow air through tube in bottom, laparoscopy
what age is appendicitis more common
(6) years
features of appendicitis
inflammation of the appendix N+V central pain to RIF pain on road bumps - peritonitic jumping test - are they well enough mild fever
Signs of appendicitis
McBurneys point - 2/3rds from umbilicus to ASIS
Rosvings sign - pressing on left causes pain in the right
guarding
rebound tenderness
psoas - hip flexed to relieve pain
investigation and management of appendicitis
USS
laparoscopy - appendicectomy
onset of malrotation
within hours / days of birth
features of malrotation
green vomit
gut is in the wrong place
Investigations and management of malrotation
CT contrast
urgent operative management
causes of acute scrotum
testicular torsion
epididymitis
hydatid torsion
idiopathic scrotal oedema
what is hypospadias
urethral opening is on underside of penis
