disorders of umbilicus and abdo wall in children Flashcards Preview

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Flashcards in disorders of umbilicus and abdo wall in children Deck (22):
1

Sx of umbilical infections

omphalitis
- periumb. erethyma
- purulent drainage
- bact

2

risk factors for infections (3)

1. home deliv.
2. low birth weight'
3. umbil. caths

3

3 treatments

1. local - warms soaks and topical ABs
2. ABs
3. surgcal drainage and debridement - rare

4

def. umb. gangrene/nec. fasch

- spreading erethyma, bloody disharge, purpura
- first 2 weeks of life
- high mortality

5

treatment

- radical exision and debridment

6

def. umbilical granuloma

benign granulation tissue
- present after cord separation

7

presentation of umb. grauloma

- mass
- chronic drainage
- skin irritation

8

3 treatments for granuloma

1. silver nitrate
2. excision
3. look out for intestial mucosa

9

*what's in the cord

2 As
1 V

10

what does 2 arteries become and patent or obliterated

patent
- medial umbilical folds

11

what does umb vein become and patent or obliterated

patent
- ligamentum teres and falciform ligament
- to ductus venosus

12

what does urachus/allantois become and patent or obliterated

obliterated
- median umbilical ligatment

13

what does OMD/vitelline duct become and patent or obliterated

obliterated
- none

14

6 possible OMD remnants

1. umbilical mucosal remnant (sinus/polyp)
2. OMD cyst
3. meckels (most common)
4. fistula
5. omphacoel band
6. vitelline vessel remnant

15

effects of OMD remnants

hemmorage
- obst
- imflammation
- umbilical sxs
- neoplasm

16

def. vitelline A remnant effects

still attached and can wrap around bowel and cause obstruction

17

3 possible urachal remnants

1. patent urachus
2. urachal sinus
3. urachal cyst

18

6 possible manifestations of urachal remnatns

1. umb. drainage
2. pain
3. infection
4. urine
5. mass
6. abscess

19

2 tests to diagnose urachal remnants

1. US
2. VCUG

20

2 possible treatments

1. drain abscess
2. exision with closure of abdo

21

def. ubilical hernia

peritoneum lined, skin covered defect
- common

22

MGMT of hernia**

- almost never incarcerated
- v. rare to need surg
- most close by 4yo
- if not then repair

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