Infant Disorders Flashcards
(34 cards)
CL occurs in
1 in 700 births
CL is a str or fx prob
str
What problem occurs embryonically in CL? When does this occur?
maxillary and nasal sinuses do not fuse
Week 5-8 gestation
CL: uni or bilateral?
Either
What teratogens play a role in CL? Examples of positive/negative?
Positive: smoking, viral infections
Negative: folic acid deficiency
Why does CL usually occur w CP?
The teratogen present in week 5-8 for CL usually has not gone away by week 9-12 for CP
How often does CP occur?
1 in 2000
Brief description of CP
congenital, incomplete fusion of palatine structures at week 9-12
What is the strongest Et factor in CP?
smoking during pregnancy
How often does pyloric stenosis occur?
1 in 1000
Is pyloric stenosis congenital/genetic?
No
Is pyloric stenosis a structural or functional problem?
functional
Why is there constriction of the pyloric spinster in pyloric stenosis?
Hypertophy
Et of pyloric stenosis
hypergastrinemia, PGE, erythromycin exposure
PGE is…
a local hormone
When does pyloric stenosis occur?
2-8 weeks of AGE
How does obstruction occur in pyloric stenosis
hypertrophy of sphincter = constriction = inflammation/exudate formation = obstruction
manifestation of PS?
projectile vomiting
What are 2 complications of PS?
dehydration, malnourishment
Diagnostic confirmation of PS?
URQ palpation = mass felt
How do we treat PS?
sx to debulk muscle
What kind of problem is gastroesophageal reflux?
functional and neuro prob
How often does gastroesophageal reflux occur in infants? When does it subside?
50%. After 3 months
Et of gastroesophageal reflux?
neuromuscular
