03.07 Obstruction in Neonates, Infants and Children Flashcards Preview

Gastrointestinal > 03.07 Obstruction in Neonates, Infants and Children > Flashcards

Flashcards in 03.07 Obstruction in Neonates, Infants and Children Deck (42)
Loading flashcards...
1

In the neonatal period, bile in the vomitus should be considered to be due to ____, until proven otherwise

IO

2

Hourly nasogastric aspirate of more than ___ in a neonate is an evidence of significant gastric retention

20cc

3

Etiologies of vomiting can be ___, ____, and ____

Mechanical
Reflex
Central

4

Characteristics of significant vomiting

Bile-stained
Bloody
Projectile
Persistent

5

Extreme danger in vomiting

Aspiration

6

To minimize aspiration, insert an ___ to decompress the stomach

OGT/NGT

7

Congenital defect of the abdominal wall in which the bowel and solid viscera are covered by peritoneum and amniotic membrane

Omphalocele

8

Congenital anomaly characterized by a defect in the anterior abdominal wall through which the intestinal contents freely protrude

Gastroschisis

9

Abnormal contour of the abdomen

Bulges

10

Passed within 24 hours

Meconium

11

Meconium is abnormal if:

None is passed
Delayed more than 24 hours
Brown, malodorous, whitish, mucoid, passed only by rectal washout

12

Smooth, firm mass that emerges through the external inguinal ring lateral to the pubic tubercle and enlarges with increased intraabdominal presure

Inguinal hernia

13

The first consideration we have to look for in an imperforate anus is if the patient has a ____

Fistula

14

Pouch of air in the rectum can be demonstrated through ___ within ____ after birth

Invertogram
18-24 hours

15

X-ray of the entire baby in one film

Babygram

16

If pre-sacral air is absent:

Obstruction

17

If pre-sacral air is present:

Normal
Ileus
Partial obstruction

18

Important to children up to ____ since they do not have true pelvises yet

2 years of age

19

Polyhydramnios, no diabetes
Vomited after each feeding
Bilious vomitus
Vigorous cry, normal VS, well-hydrated
Upper abdomen is full
Microcolon in barium enema

Small bowel atresia

20

Hallmark of duodenal obstruction

Bilious vomiting without abdominal distention

21

Difficulty with feedings
Nonbilious vomitus
Always hungry
Dehydrated
Pulsion like wave starting in the upper quadrant moving to the right
Vomited curdled milk
Fingernail-size firm mobile mass (olive tumor) could be palpated in the epigastrium
String sign

Pyloric stenosis

22

In HPS, pyloric muscle wall thickness > ___

4mm

23

In HPS, pyloric channel length > __

14mm

24

HPS occurs from the ___

1st-2nd month of life

25

HPS is repaired through ____

Myotomy (Fredet-Ramstedt pyolomyotomy)

26

Poor feeding since birth
Bilious vomiting of 12 hours duration
Passage of meconium
Irritable neonate with minimal abdominal distension
Double bubble sign

Malrotation

27

Common causes of duodenal obstruction
Beak sign, sudden cutoff sign

Malrotation
Annular pancreas
Duodenal atresia

28

There is a formation of ____ in malrotation

Peritoneal bands (Ladd's bands)

29

CC of malrotation

Unexplained bilious vomiting

30

Nonbilious vomiting
Extremely healthy
Better in between bouts of apparent pain
Cry and become pale
Runny nose in the previous week
Blood in the stool
After crying, upper quadrant fullness
Currant jelly/tomato juice

Ileo-ceocal intussusception