September 25, 2015 - Pediatric Gastroenterology

Question 1

Red Flags in Children

Answer 1

Severe abdominal pain

Weight loss / poor weight gain

Associated diarrhea

Vomiting

Night-time waking

Fever

Abnormal physical exam

Abnormal bloodwork

Question 2

Failure to Thrive

Answer 2

A child falling significantly below the normal growth chart. First the weight falls, then the height falls, and finally the head circumferance.

Question 3

Common GI Problems in Kids

Answer 3

1. Gastroesophageal reflux
2. Eosinophilic esophagitis
3. Peptic ulcer disease
4. Celiac disease
5. Inflammatory bowel disease

Question 4

Peptic Ulcer Disease in Kids

Answer 4

Usually high risk groups for H. pylori such as immigrants, first nations, hutterites, etc.

Question 5

Allergic Colitis

Answer 5

Bloody stolls in a well-appearing infant. Could be allergic to protein in breast milk or formula.

Most symptoms disappear within 1 month of removing the allergen and by 12 months of age, 95% will tolerate the allergen. Generally, these babies do not develop allergies or IBD.

Question 6

PEG 3350

Answer 6

Used to treat constipation. Breaks up the stools and makes them much looser.

Question 7

Primary Symptom of GI Disease in Kids

Answer 7

Poor growth.