T2- GI Disorders: Biliary atresia, imperforate anus, & hernias, GER, ect

Question 1

Bile duct fibrosis

Answer 1

Biliray atresia

Question 2

Untreated billiary atresia leads to death before ___

Answer 2

Age 2

Question 3

What is the treatment for billiary atresia?

Answer 3

Surgical liver transplant

Question 4

What type of procedure is associated with biliary atresia?

Answer 4

Kasai procedure

Question 5

What does the Kasai procedure do?

Answer 5

Hepatic portoenterostomy allows for bile drainage

Question 6

No external opening to the rectum

Answer 6

Imperforate anus

Question 7

What is the first sign of imperforate anus?

Answer 7

No passage of meconium within first 24 hours

Question 8

What do we check in a patient with imperforate anus?

Answer 8

“Anal wink”

Question 9

How do we see where things are with imperforate anus?

Answer 9

Imaging

Question 10

Is this a surgical procedure for imperforate anus?

Answer 10

Simple “pull through” colostomy and reconstructive repair (high defect)

Question 11

What are the 3 types of hernias?

Answer 11

Umbilical
Inguinal
Diaphragmatic

Question 12

What hernia is the most common?

Answer 12

Umbilical

Question 13

Problem with the umbilical ring and lets out bowel

Answer 13

Umbilical hernia

Question 14

How is umbilical hernia corrected?

Answer 14

Surgical correction

Question 15

What can be a problem with umbilical hernia?

Answer 15

Stangulation is a problem

Question 16

What are the two types of inguinal hernias?

Answer 16

Direct

Indirect

Question 17

What type of hernia:

Abdominal contents herniate through a weak point in the fascia of the abdominal wall and into the inguinal canal

Answer 17

Direct inguinal hernia

Question 18

What type of hernia:

Abdominal contents protrude through deep inguinal ring; caused by failure of embryonic closure of the internal inguinal ring (after testicle has passed)

Answer 18

Indirect inguinal hernias

Question 19

When does a diaphragmatic hernia occur?

Answer 19

7-10th week of gestation

Question 20

Hypoplasia of the lung

Answer 20

Diaphragmatic hernia characteistic

Question 21

What are 2 types of abdominal wall defects?

Answer 21

Omphalocele

Gastroschisis (contents outside of the body placed back in the body)

Question 22

“Acid indigestion”

Answer 22

Gastroesophageal reflux

Question 23

What is GER associated with?

Answer 23

• FTT
• Bleeding or dysphagia
• Apnea
• Bronchospasm
• Laryngospasm
• Pneumonia
• Asthma

Question 24

What is the problem with GER?

Answer 24

Lower esophageal sphincter dysfunction, poor clearance of acid, delay in gastric emptying

Question 25

Signs of GER?

Answer 25

• Passive regurgitation or emesis
• Poor weight gain, burning, gagging/choking after feediing
• Apnea
• Recurrent pneumonias

Question 26

What are treatment methods for GER?

Answer 26

• Small frequent meals
• NG feedings
• Thickening with rice cereal!!!!
• Position

Question 27

What are some meds for GER?

Answer 27

H2 blockers

Proton pump inhibitors

Question 28

How do we place a GER infant after feeding?

Answer 28

UPRIGHT IN INFANT SEAT (like a car seat) after feeding!!!

Question 29

What is the one of the ONLY diseases where putting rice cereal in milk is okay and why?

Answer 29

GER patients–helps thicken the milk!!!