Tracheo-esophageal fistula, esophageal atresia, polyhydramnios, oligohydramnios, hypertrophic pyloric stenosis Flashcards
TEFs occur in 1/3000 births and are due to the failure of what two structures to separate?
trachea and esophagus
Presentation of Tracheoesophageal fistula?
newborn who salivates excessively that could cause choking, coughing, vomiting, cyanosis when feeding
Increased risk of what defects in newborns presenting with TEF?
vertebral anomalies (spine)
anal atresia (butt)
cardiac defects (heart)
renal anomalies (kidneys)
limb defects (limbs)
Complications of TEF include?
polyhydramnios
pneumonitis
pneumonia
Presentation of Hypertrophic pyloric stenosis?
baby boy with non-bilious projectile vomiting after feeding
What aspect of fetal survival is affected with Oligohydramnios?
Fetal breathing due to inadequate amount of amniotic fluid
presentation of oligohydramnios?
limb malformations
severe lung immaturity
hypoplasia of the ung
congenital lobar emphysema from weakened of absent cartilage in the wall of the _____
bronchi
cystic fibrosis caused from a defective or absent cystic fibrosis transmembrane receptor which prevents Cl- movement causing epithelial cells to retain more ____. Mucus becomes thick and traps bacteria because of less water in the epithelial secretions
Na+
Pleurisy caused by inflammation of the pleural membrane can be caused by which bacterial/viral?
Both
TB, CHF, cancers, pulm emboli, viruses
Congenital Diaphragmatic Hernia prevalence rate and survival rate
1:2500 live births, 60-90% newborns
Bochdalek hernia is ____ and to the ____. It is about 90% of CDH
back and to the left,
hole in the back of the diaphragm
Morgagni Hernia is a hole in the ____ of the diaphragm. 2% of CDH
front of the diaphragm
Radiograph of CDH shows_____
shift of the mediastinum to the right, air-filled bowel in the left chest
Congenital Diaphragmatic Hernia usually presents symptomatic at birth and the baby will have most noticeably a ____
scaphoid abdomen
