Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

GEN MED GI > Gen Med Pediatric > Flashcards

Gen Med Pediatric Flashcards

1
Q

Bilious Vomit (yellow Green) is:

A

Obstruction until otherwise proven

Refer for endoscopy ASAP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Projectile Vomit (consistent, not ill)

A

Pyloric Stenosis

Fine/Not Fussy always projectile vomits after eating & wants to eat again

Not sick but likely not gaining well

Image of Choice is Sonogram, looking for target sign if no hemetemesis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Pyloric Olive

A

Hypertrophied Pyloric Sphincter

Cause of Pyloric Stenosis

May be palpable in epigastric

Surgury required

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Rx Pyloric Stenosis

A

Surgery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Infantile/childhood Hematemesis

A

911

Refer for endoscopy asap

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Common GERD causes in nursing baby

A

Dairy & Beef & Smoking in the house

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Uncomplicated GERD fixes

A
  • Sit baby up after eating for 1/2 hr
  • Try soy, Try non-soy
  • -thicken formula w/oat cereal, not rice
  • If nothing works, try 2wk PPI trial use Nexium
  • If that doesn’t work, refer for endoscopy
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Target Sign on Sonogram

A

Pyloric Stenosis
or
Intussception “target, bulls eye or coiled sprain”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Hemetemesis

A

Complicated GERD
or
Volvulus

Refer for endoscopy ASAP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Sm bowel invagination, usually near ileocoecal valve

A

Intussusception

  • Under 3
  • Sudden Onset
  • Current Jelly Stool
  • Happy Between Episodes
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Rx for Projectile Vomit/Pyloric Stenosis

A

Pyloromyotomy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Intussusception Rx

A

Pneumatic Air Enema Thru Rectum

Surgery if that doesn’t work

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Knees Up & Screaming
Belly Distended
Fine between episodes

A

Intussusception

invagination of sm bowel into cecum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Intussusception Triad

A
  • Sausage Shaped Mass in Belly palpable
  • Pain
  • Current Jelly Stool
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Happy Pukers

A

Pyloric Stenosis

Check for Olive

Refer for sonogram / target sign

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Suspect Volvulus

A

X Ray asap, don’t stop to sonogram w/barium

17
Q

Rule of 2

A 
Meckel's Diverticulum:
2 yrs or younger
2% of the population
2 feet from the ileocoecal valve
2 inches long
18
Q

Most common cause of Obstruction up to age 2-3

A

Intussusception - 911!!!

- Endoscopy    - NG Tube    - IV Fluids    - Pneumatic Air Enema or Barium from Rectum

You CAN have intussusception with no obstruction

19
Q

Meckel’s Diverticulum Image of choice

A

Nuclear Scan, 80% diagnostic

If negative and you have painless lower GI bleed that may look like Appendicitis but Appendix is fine on the nuclear scan
Go to Arteriography

20
Q

Meckel’s Rx

A

Decompress Bowel if obstructed

Augmentin/Flagyl & PPI

Divertiulectomy or Resection/Anastamosis

21
Q

Bowel winds 270 degrees around Ligament of Treitz

A

Intestinal Malrotation

Volvulus -911

22
Q

Malrotation Study of Choice

Volvulus Study of Choice

A

Upper GI w/Barium for Malrotation

Stat X-Ray for Volvulus, no time!! then to OR
LADD procedure untwists & appendectomy

23
Q 
Vomiting bile (green digestive fluid)
Drawing up the legs.
Abdominal pain.
Swollen abdomen.
Diarrhea.
Constipation.
Rectal bleeding.
Failure to thrive.
A

Volvulus

X-Ray

LADD Procedure

24
Q

Painless lower GI Bleed in kids

Appedicitis-y but CT of appendix is good Think:

A

Merkel’s Diverticulum

Rule of 2’s

25
Q

Happy Spitter

A

Uncomplicated Infant GERD

Happy Projectile Vomiter is Pyloric Stenosis

26
Q

Corkscrew on Upper GI w/Barium

A

Intestinal Malrotation

you probably did an X-Ray if you had biliary vomit or hematemesis and suspected Volvulus.

27
Q

Neonate

A

1-28 days

28
Q

Neonate doesn’t pass Meconium in first 2 days of life and Belly Distended & Bilious Vomit

“Squirt Sign” or “Blast Sign” on pinky DRE

A

Hirchsprung Disease

Congenital loss of Myenteric Nerve Bed in distal Sigmoid, loss of peristalsis

Get X-Ray, look for air above the Sigmoid

Refer for REctal Biopsy to DX

Colonectomy is RX

29
Q

painless bleeding from the rectum

A

Meckel’s Divertiuculum

  • One of the Most common congenital abnormalities.
  • Usually Asymptomatic found on scan for something else or looks like appendicitis
  • Arises from incomplete separation of fetal bowel from the placenta
  • Rule of 2’s
  • Nuclear Scan to image or arteriography. Capsule endography not so great as diverticula can be large and capsule can get stuck there.
  • Bowel Abx regimen but substitute Augmentin for Cipro in kids, give Abx prophylactically and in actual diverticulitis.

GEN MED GI (4 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions