Abdominal Pain and Vomiting Flashcards Preview

Hugh's MD3 Paediatrics > Abdominal Pain and Vomiting > Flashcards

Flashcards in Abdominal Pain and Vomiting Deck (8):
1

What are some surgical causes of vomiting?

Malrotation and volvulus
Pyloric stenosis
Intussusception
Appendicitis

2

What is the major difference between malrotation and volvulus and pyloric stenosis?

M&R is bilious vomit
PS is projectile

3

What is the typical presentation of PS?

Male, 3-6 weeks with projectile vomiting whose hungry

4

What is the metabolic derangement in PS?

Hypochloraemia
Hypokalaemia
Metabolic alkalosis
Paradoxical aciduria

5

Why do you get paradoxical aciduria? What are the implications?

The body is trying to retain Na at the cost of H+ and K
- makes hypokalaemia and alkalosis worse

6

What is the classic examination finding for PS?

Olive mass on abdo exam - represents the thickened pylorus

7

What is the presentation of intussusception?

5-7month old
Vomiting and colicky abdo pain

8

What is the classic Ix finding in intussusception?

Target sign on US