Surgical problems In the Newborn Flashcards
What are presentations of a GI obstruction?
Vomiting
Abdominal distension
Failure to pass meconium
What are more obvious Antenatal ultrasound findings?
Gastroschitis Exomphalos Congenital diaphragmatic hernia Double bubble Abdominal cyst
What are less obvious antenatal ultrasound findings?
Absent stomach bubble
Polyhydramnios
Hyperechoic bowel
Dilated bowel loops
What is gastroschitis?
When the intestines have herniated outside of the abdominal wall
What is Exomphalos?
a weakness of the baby’s abdominal wall where the umbilical cord joins it. This weakness allows the abdominal contents, mainly the bowel and the liver to protrude outside the abdominal cavity where they are contained in a loose sac that surrounds the umbilical cord
What is a congenital diaphragmatic hernia?
Intestine protruding through hole in diaphragm
What are classical presentations?
Feeding difficulties
Abdominal distension
Bile stained vomitus
How would a diagnosis usually be made?
History Maternal ultrasounds Examination AXR US Contrast study
What is bile stained vomiting?
A Surgical Emergency
What is a hydrocele?
Fluid around the testicle