Surgical problems of neonates

Question 1

what are the 2 reasons neonates get sick

Answer 1

congenital abnormality

prematurity

Question 2

what is necrotising enterocolitis NEC

Answer 2

dangerous haemorrhagic inflammation of intestinal wall due to poor structural integrity of the gut

Question 3

what are consequences of NEC

Answer 3

perforation
pneumoperitoneum
portal gas

Question 4

what is Rigler’s sign

Answer 4

double wall sign seen in perforation

Question 5

what can cause GI obstruction

Answer 5

extra - luminal
in the bowel wall
intra - luminal

Question 6

give an intraluminal cause of obstruction

Answer 6

CF - meconium ileus

Question 7

give a cause of obstruction due to bowel wall

Answer 7

atresia = congenital dead end

Question 8

give an extra luminal cause of obstruction

Answer 8

hernia

Question 9

what is malrotation and how severe is it

Answer 9

very severe

bowel in the wrong place

Question 10

clinical features of malrotation

Answer 10

green vomit - like fairy liquid

Question 11

management of malrotation

Answer 11

upper GI fluroscopy

Ladd’s procedure