Abdominal Pain and Vomiting in Child Flashcards Preview

FAMILY MEDICINE > Abdominal Pain and Vomiting in Child > Flashcards

Flashcards in Abdominal Pain and Vomiting in Child Deck (10):
1

Presentation of intussuception

-sudden onset vomiting, bouts of abdominal pain with calm periods in between episodes; fever
-vomiting becomes bilious as obstruction sets in
- may have "sausage" shaped mass on right side
- "currant jelly" stool, bloody stool mixed with mucous
- may proceed to bowel necrosis if left untreated

2

Patient presenting with intususseption what to evaluate for before treating

PERFORATION with abdominal plain x-ray

if yes, THEN SURGERY REQUIRED

if no, then barium enema to relieve intussuseption

3

Most common cause of GI obstruction in infants

hypertrophic pyloric stenosis

4

- nonbilious PROJECTILE vomiting occuring immediately after meals
- may palpate olive shaped mass in RUQ

hypertrophic pyloric stenosis

identified via upper GI study. If "double track sign" is found, surgical referral needed

5

Test of choice to dx malrotation

upper GI series

6

Classic rotation of malrotation

-usually in child younger than 1 month
- abdominal pain, BILIOUS vomiting as obstruction sets in
- vascular compromise esp around superior mesenteric artery, leads to ischemia
- "beak sign" on upper GI series
- surgery definitve treatment

7

`Which foreign bodies to require immediate intervention

flat disk/"buttons", batteries in esophagus ---> can cause perforation/obstruction
- sharp objects and magnets
- any object in esophagus has to be removed in less than 24 hours
- sharp/elongated objects that haven't moved in 3 days

8

abdominal pain and vomiting + salivation/lacrimation/diarrhea/cramps/seizures (cholinergic syndrome)

poisoning

9

Ingestion of antihistamines or TCAs produce

dry skin, dry mucosae, urinary retention, decreased bowel signs (anticholinergic)

10

Any infant with abdominal pain and bilious vomiting is _______ until proven otherwise

volvulus