Gastric conditions

Question 1

common gastric conditions in children

Answer 1

pyloric stenosis
intussusception
necenterocolitis

Question 2

symptoms of pyloric stenosis

Answer 2

projectile vomit post-feeding - curdled milk
olive shaped mass
dehydration
constipation

Question 3

diagnosis of pyloric stenosis

Answer 3

USS
metabolic panel - alkalosis
electrolytes

Question 4

management of pyloric stenosis

Answer 4

pyloromyotomy

Question 5

symptoms of intussusception

Answer 5

abdominal pain - draw knees up in pain
sausage shaped mass
bloody stool - redcurrant jelly like
vomiting

Question 6

diagnosis of intussusception

Answer 6

USS

Question 7

management of intussusception

Answer 7

air insufflation

surgery

Question 8

symptoms of necenterocolitis

Answer 8

poor feeding
bloody stool
abdominal distension
peritonitis and perforation

Question 9

diagnosis of necenterocolitis

Answer 9

abdominal x-ray to look for perforation, oedema or dilated bowel

Question 10

management for necenterocolitis

Answer 10

stabilise
IV feeding 
NG tube 
fluids
antibiotics
surgery for perforation