surgical problems of the neonate

Question 1

baby is:

• unstable
• distended abdomen
• bringing up fluid in nasal tube
• has cardio problems
• tender abdomen
• abdomen slightly discoloured

what is wrong?

Answer 1

• can see abdomen distended
• can see bowel loops
• the light grey haziness is the liver
• there is blackness on gut and liver
• some little bubbles in wall of the bowel
• there is a loop of bowel sitting to low showing a hernia
• the baby could has a perforation in the bowel
• there is a hernia in the gut

Question 2

what does blackness suggest on an Xray?

Answer 2

air

-this could suggest a leak

Question 3

what is the first poo a baby does and when do they need to do it?

Answer 3

• meconium (a black poo)

- 48 hours

Question 4

what is adrenal atresia associated with?

Answer 4

downsyndrome

Question 5

what is adrenal atresia?

Answer 5

-a problem in newborn infants that causes partial or complete closure (atresia) of the lumen of the duodenum

Question 6

if a child has been vomiting what should you ask?

Answer 6

what colour their vomit is

Question 7

what can green vomit suggest?

Answer 7

-malrotation and volvulus

Question 8

what is the investigation for malrotation and volvulus?

Answer 8

-CT abdomen with contrast

Question 9

what investigation should be done if a neonate is vomiting blood?

Answer 9

-CT abdomen with contrast incase it is malrotation and volvulus

Question 10

what occurs to the bowel in malrotation and volvulus?

Answer 10

the bowel twists

Question 11

what occurs if you leave malrotation and volvulus?

Answer 11

-the bowel dies