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Flashcards in Exam 3 Chart Deck (19):
1

Hirschsprung Disease =

- mechanical _____ from inadequate _____ of the ______
- _____ of ganglion cells in the colon

= Congenital Aganglionic Megacolon

- mechanical obstruction from inadequate motility of the intestine
- absence of ganglion cells in colon

2

Hirschsprung Disease usually involves which parts of the GI tract? (2)

Usually involves the rectum and proximal colon

3

What happens to stool in Hirschsprung disease?

Stool accumulates bc no motility -> distention

4

S/S of Hirschsprung Disease in newborns (4)

- No meconium 24-48 hrs after birth
- refusal to feed (FTT)
- Vomiting, distention, and constipation
- Ribbon like stools

5

How to Diagnose Hirschsprung disease
- _____ after ____
- Rectal ____

- X-ray after Enema
- Rectal Biopsy

6

Treatment/Management for Hirschsprung disease =

What will they have after?

Surgery

Temporary ostomy

7

Gastro-esophageal reflux (GER) =

Who does it occur in? But what would make it abnormal?

= transfer of gastric contents into esophagus

Everyone, Frequency and persistency may make it abnormal

8

Gastroesophageal Reflux (GER)
- common in infants less than?
- how does it resolve?

- less than 2 months
- resolves spontaneously

9

S/S of Gastro-esophageal reflux (GER)
- re______, v_____, ___ feeder, ____ infant, _ _ _/wh____
- _____* syndrome =
- Heart_____

- regurgitation, vomiting, poor feeder, irritable, URI/wheezing
- SANDIFER syndrome* = arching of the back

10

Medications for Gastro-esophageal reflux (GER) (2)

- H2 receptor antagonist (Zantac)
- PPI (Nexium, Prevacid)

11

Surgery for GER =

Surgical Fundoplication

12

Management of GER
- Thicken formula with _____
- Feed ___ amounts more _____

- cereal
- small, frequently

13

Pyloric Stenosis =

Develops in the first __-__ weeks of life

= hypertrophy of the pylorus causing constriction of pyloric sphincter with obstruction of gastric outlet (bt stomach and small intestine)

- 2-5 wks

14

S/S of Pyloric Stenosis (3)

- Projectile vomiting
- Needs re-feeding
- Can result in dehydration and poor weight gain

15

Pyloric Stenosis diagnosed with? You will feel what?

Ultrasound, palpable olive shaped mass

16

Correction of Pyloric Stenosis =

- ____ recover feeding _-_ hrs post op

= surgical correction with fundoplication

- rapid, 4-5

17

Intussusception =

May be due to? but often cause is _____

Female/Male babies from _-_ months get this (may go up to age __)

= telescoping or invagination of one portion of intestine into another

- intestinal lesions, unknown

Male, 3-9 months, may go up to age 5

18

S/S of intussusception
- V____
- Currant ____ stools
- ___ and ___ in stool

- Vomiting
- Jelly
- Mucous and blood in stool

19

How to diagnose intussusception?

___% non-operative reduction

= US guided saline enema

80%