Gastro Flashcards Preview

Paediatrics > Gastro > Flashcards

Flashcards in Gastro Deck (10):
1

What is an example of secretory diarrhoea?

Cholera - toxin mediated

2

What is an example of diarrhoea caused by mucosal invasion?

E.g. Bloody diarrhoea
Enteropathogens like shigella, salmonella

3

What is an example of increased motility diarrhoea?

IBS or dumping

4

What are the red flags for clinical dehydration?

Appears unwell/ deteriorating
Altered consciousness
Sunken eyes
Tachy c and p
Reduced skin turgor

Shock- pale, cold, prolonged capillary refill, hypotension


5

When should you for a stool microbiology in diarrhoea in children?

Septicaemia suspected
Blood/mucus in stool
Immunocompromised

? If :
>7 days
Recent travel
Uncertain re diagnosis

6

Management for diarrhoea dehydration?

Oral rehydration solution
Volume - spec red weight plus estimated dehydration

7

How do calculate fluid requirements in children?

First 10kg = 100ml/kg/day
Second 10kg = 50ml/kg/day
Each subsequent kg = 20ml/kg/day

8

How do you diagnose coeliac disease?

Small bowel biopsy
Response to gluten free diet/ gluten challenge

Screening - blood tests useful

9

What are the first line blood tests when suspecting coeliac disease?

IgA and IGA tissue transglutaminase

10

How do you diagnose gord in children?

Impendence monitoring
Oesophageal PH