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Pediatrics Review > GI > Flashcards

GI Flashcards

1
Q

Gold standard for biliary atresia in pedia?

A

Cholangiography.

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2
Q

On UTZ; biliary atresia usually has?

A

Triangular cord sign. ; cone shaped fibrotic mass cranial to bifurcation of portal vein.

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3
Q

Stool sample diagnostic of amoebiasis

A

Trophozoite + ingested RBC

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4
Q

Period of communicability for s. Typhi

A

Throughout duration of fecal excretion.

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5
Q

Typhoid fever usual antibiotic treatment

A

Ceftriaxone 75mg/kg/day.

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6
Q

Drugs causing pseudomembranous colitis?

A

Clindamycin + amoxicillin

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7
Q

DOC for shigella enritis?

A

Ciprofloxacin.

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8
Q

Invasion of colonic epithelium of shigella is via ???

A

M cells.

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9
Q

Hallmark symptom of shigella enteritis

A

Painful defecation.

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10
Q

Definitive diagnosis use of _______ culture? For shigella enteritis

A

Macconkey, xylose lysin deoxycholate, ss agar.

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11
Q

Empiric therapy of shigella enteritis.

A

Cefixime, ceftriaxone, azithromycin

+ 20mg zinc 14 days.

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12
Q

Intussusception

Barium

UTZ

A
  1. Coiled spring sign

2. Target/ donut ring.

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13
Q

Pyloric stenosis

UTZ

Barium

A
  1. > 4mm pyloric thickness, >14mm length

2. Shoulder sign (antrum muscle)

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14
Q

Treatment for duodenal atresia

A

Duodenodudenostomy + gastrotomy tube placement.

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15
Q

Definitive diagnosis for hirschsprung?

A

Biopsy.

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16
Q

Normal passage of meconium within the first _____ of life?

A

48 hours

17
Q

Normal passage of urine within the first ________ of life?

A

24 hours.

18
Q

When is endoscopy indicated in foreign body ingestion?

A
  1. Sharp objects
  2. Disc button battery
  3. Respiratory symptoms.
19
Q

In foreign body ingestion, blunt objects watchful waiting for _____ Hours?

A

24 hours.

20
Q

Grade of caustic ingestion on endoscopy.

0
1
2
3
4
A 
0 - normal
1- erythema
2- erythema + sloughing + ulceration + exudate none circumferencial
3- circumferential
4- eschar full thickness, perforation

Pediatrics Review (6 decks)

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