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Flashcards in GI_UW_pretest Deck (83)
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1

Mesenteric adenitis presents how?

RLQ pain, abdominal guarding, and tenderness

2

Recurrent self limiting episodes of V/N without an apparent cause with family hx of migraines suggests?

Cyclic vomiting syndrome

3

Pyloric stenosis leads to what electrolyte derangement

Hypokalemia hyponatremia metabolic alkalosis

4

Tx for pyloric stenosis

IV rehydration, correction of electrolyte imbalances to reduce risk of post op apnea, and then pyloromyotomy

5

Pyloric stenosis found in what population and typically diagnosed when?

First born males. Diagnosed at ages 3-5 weeks.

6

What is the first line modality for ID-ing intususseption

U/S

7

What is the classic sign for intussusception on U/S?

Target sign

8

What are characteristic signs of biliary cysts?

Abdominal pain, jaundice, palpable mass. Majority of cysts present

9

Hirschsprung disease aka

Congenital aganglionic megacolon

10

Meconium ileus is pathognominic for

Cystic fibrosis

11

Hirschsprung is a/w which disorder?

Down syndrome

12

Primary diagnoses consideration in infant that fails ot pass meconium within 48 hours

Hirschsprung and meconium ileus

13

Why is there polyhydramnios with duodenal atresia

inability to swallow and remove amniotic fluid

14

What does x ray show for duodenal atresia

Air trapped in stomach, and duodenum => double bubble. No air in distal part of the GI tract.

15

Duodenal atresia is strongly a/w

Down Syndrome

16

What is a volvulus

Small bowel twists around the superior mesenteric artery resulting in vascular compromise to large portions of midgut

17

How does midgut volvulus usually present

18

What is the fastest and most accurate way to diagnose a volvulus?

Contrast in a corkscrew pattern => volvulus

19

What is the Ladd procedure

Fixing the bowel in a non-rotated position to minimize recurrent volvulus risk.

20

Pellagra classic ppt

Diarrhea, dermatitis dementia and if severe, death

21

Pellagra is due to deficiency in what?

Vitamin B3 (niacin)

22

Riboflavin deficiency presentation

Cheilosis, glossitis, seborrheic dermatitis (often affecting genital areas), pharyngitis and edema/erythema of the mouth

23

Pyridoxine deficiency is a known risk factor for?

Venous thromboembolic disease and atherosclerosis

24

What solution should be used for IV fluid resuscitation in children?

Isotonic crystalloid is the only crystalloid solution recommended - isotonic saline

25

Presentation of Beckwith-Wiedemann Syndrome

Overgrowth disorder. PE = macrosomia, macroglossia, ompahlocele or umbilical hernia, hemihyperplasia.

26

What are the complications of Beckwith-Widemann

Wilms Tumor, hepatoblasoma

27

NEC presentation

Feeding intolerance, increased gastric residual volume, abdominal distension, bloody stools.

28

Risk factors for NEC

Prematurity,low birth weight, hypotension, congenital heart disease.

29

Hallmwark x-ray finding for NEC

Pneumostasis intestinalis and portal venis air

30

PE findings and X -ray findings for osteosarcoma

Large tender mass. X-ray finding: sun-burst periosteal pattern and "codman" triangle.