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Flashcards in Common surgical problems in neonates Deck (24):
1

what is perforation of the bowels in babies called

necrotising enterocolitis

2

what does necrotising enterocolitis look like on an X-ray

distended abdomen
gas in the bowels
loops of bowel?

3

why does necrotising enterocolitis occur and who is more prone to this

premature babies/small babies as the bowels aren't meant to be used yet so they can't cope

4

what kind of problem is necrotising enterocolitis - acquired or genital

acquired

5

what is a congenital obstruction in the lumen

meconium ileus

6

what is meconium ileus

meconium gets stuck in the terminal ileum causing obstruction

7

signs of baby with meconium ileus

not keen to feed, may be vomiting, not emptying bowels, slightly distended abdomen, no meconium or little bits of it for 48 hours

8

when should meconium be out by

within 48 hours

9

investigation for meconium ileus and what does it show

contrast enema
distended abdomen
loops of bowel that don't have any contrast in it and are very distended - before the blockage - filled with air
descending colon is narrow and solid

10

why is meconium ileus a worrying thing

1/3 of children with CF present with this

11

treatment of meconium ileus

the contrast itself can cause the meconium to pass
another contrast can be done
if this does not work then laparotomy - bring the bowel out as a temporary stoma

12

what is atresia

an obstruction in the wall - somewhere in the bowel

13

when is atresia picked up and what is seen

during pregnancy - seen on scans as a loop of bowel which is getting bigger - loops of bowel are massive

14

signs of atresia

bowel is distended
baby won't want to feed and is vomiting

15

treatment of atresia

surgery

16

obstruction outside the wall such as a

hernia - congenital in kids

17

what is the most common congenital hernia in children

an inguinal hernia - loop of bowel has moved into the groin area due to the weakness of the inguinal canal

18

investigation for hernias

not necessary

19

how are congenital hernias treated when presented

as emergencies
try and reduce
surgery

20

colour of the vomit if malrotation

green - like fairy liquid

21

investigation in malrotation

contrast enema via mouth

22

wat artery can be pinched in malrotation

superior mesenteric artery

23

a baby vomiting green is what

malrotation until a enema proves otherwise

24

why does malrotation occur

in utero at one point the gut sits outside the body - physiological hernia and then moves back in
sometimes it doesn't move in properly leading to malrotation