T2- GI Disorders: Tracheoesophageal Fistula and/or Atresia Flashcards
1
Q
Conditions of multiple anomalies sometimes associated with tracheoesophageal defects: VACTERL (what does this stand for?)
A
- Vertebral defect
- Anorectal malformation
- Cardiac defects
- Tracheoesophageal fistula
- Esophageal atresia
- Renal anomalies
- Limb defects
2
Q
Abnormal opening between two parts inside the body
A
Fistuala
3
Q
Symptoms of fistula if ends in blind pouch?
A
- Drools, saliva
- Cough and sputter
- Laryngospasm
- Abdominal distention from air
4
Q
If spits up, will go up trachea. First priority?
A
Airway, then suction, position head up so secretions will pool in pouch and can suction out, head up
5
Q
Diagnostics of esophageal atresia and tracheoesophageal fistula:
What is done?
A
Radioopague catheter and x-ray OR immediately G-tube, repair fistula with end to end anastomoses
6
Q
Post-op for fistulas:
- Dont want anything ____
- What kind of cough?
- What kind of cancer risk after this repair?
A
- Dont want anything irritatiing
- BARKY cough post-op
- Esophageal cancer risk after this repair
