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GI - 2 > Pediatric GI > Flashcards

Pediatric GI Flashcards

1
Q

What causes Gastroesophageal Reflux (GER)?

A

Floppiness of LES

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2
Q

What should you obtain with a child that presents with GER?

A

Detailed history of vomiting and feeding schedule

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3
Q

Symptoms of GER?

A

HAPPY spitter, gaining weight and refluxes while smiling

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4
Q

Symptoms of GER?

A

HAPPY spitter, gaining weight and refluxes while smiling

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5
Q

If the relux is persistent in the child, what will likely manifest?

A

GERD

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6
Q

GERD symptoms?

A

Esophagitis and fussiness

– persistent refluxing

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7
Q

GERD symptoms?

A

Esophagitis and fussiness

– persistent refluxing

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8
Q

What tests should be performed if a child has GERD?

A

24 hour intra-esophageal pH and impedance monitoring

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9
Q

What tests should be performed if a child has GERD?

A

24 hour intra-esophageal pH and impedance monitoring

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10
Q

What test should be performed if a child has GERD?

A

24 hour intra-esophageal pH and impedance monitoring

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11
Q

What can quantify the severity of the reflux?

A

24 hour intra-esophageal pH and impedance monitoring

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12
Q

Describe impedance monitoring

A

= measures direction of food bolus movement
- measures changes in resistance to alternating electrical current when bolus passes by a pair of metallic rings mounted on catheter

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13
Q

Describe impedance monitoring

A

= measures direction of food bolus movement
- measures changes in resistance to alternating electrical current when bolus passes by a pair of metallic rings mounted on catheter

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14
Q

Where does Intussusception usually occur?

A

Ileocecal junction == ileum invaginating into colon

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15
Q

Symptoms of Intussusception?

A

Currant jelly - like stools
Abdominal pain and vomiting
RUQ sausage - like mass

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16
Q

Symptoms of Intussusception?

A

Currant jelly - like stools
Abdominal pain and vomiting
RUQ sausage - like mass

17
Q

Air enema usually treats?

A

Intussusception

18
Q

Pyloric stenosis is common in boys 2-4 weeks old. What are the symptoms?

A

Projectile vomiting
Palpable olive in epigastric region
Peristaltic abdominal waves with eating

19
Q

Pyloric stenosis is common in boys 2-4 weeks old. What are the symptoms?

A

Projectile vomiting
Palpable olive in epigastric region
Peristaltic abdominal waves with eating

20
Q

Electrolyte changes with Pyloric Stenosis?

A

Hypochloremic
Hypokalemic
Metabolic Alkalosis

21
Q

Electrolytes changes with Pyloric Stenosis?

A

Hypochloremic
Hypokalemic
Metabolic Alkalosis

22
Q

Hirschsprung disease

A

Failure of ganglion cells to migrate to developing colon

23
Q

What is the first sign of Hirschsprung disease?

A

Failure to pass meconium in first 24-48 hours of life

24
Q

What is the first sign of Hirschsprung disease?

A

Failure to pass meconium in first 24-48 hours of life

25
Q

3 signs of Hirschsprung Disease?

A
  • Palpable stool in abdomen
  • Empty rectal vault
  • History of never having unassisted stool
26
Q

3 signs of Hirschsprung Disease?

A
  • Palpable stool in abdomen
  • Empty rectal vault
  • History of never having unassisted stool
27
Q

What test should be done to confirm Hirschsprung Disease?

A

Rectal biopsy

28
Q

Celiac Disease

A

Gluten sensitive

= immune mediated inflammatory disease of SI

29
Q

Females/people with other autoimmune diseases and those with Down, Turner or Williams syndrome are at high risk for?

A

Celiac disease

30
Q

Symptoms of Celiac Disease?

A

Diarrhea
Failure to gain weight
Abdominal distention with pain

31
Q

Symptoms of Celiac Disease?

A

Diarrhea
Failure to gain weight
Abdominal distention with pain

32
Q

What antibodies will diagnose Celiac disease?

A

IgA (ttg)

33
Q

IgA (ttg) antibodies will diagnose?

A

Celiac disease?

34
Q

Treatment for Celiac disease?

A

Gluten free life

GI - 2 (61 decks)

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