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NEC Flashcards

(5 cards)

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1
Q

Define necrotising enterocolitis

A

Hemorrhagic necrotising inflammation of intestinal wall

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2
Q

Causes of necrotising enterocolitis

A

Causes are unknown but contributing factors: formula feeding, immunocompromised, intestinal wall perfusion na dmotility disorders, SBO

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3
Q

Clin f of necrotising enteroclitis

A

Abdo distension
Feeding intolerance
PR bleeds
Lethargy

1- decreased bowel sounds, tnederness, abdo wall cellulitis
2- peritonitis, abdo tender and distendedm CV/resp instability

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4
Q

Dx of necrotising enterocolitis

A

Gold standard is abdo XR with intestinalis pneumatoliss, portal venous gas, increased intestinal thickness

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5
Q

Mng of necrotising enterocolitis

A

Bowel rest
ABX: Amoxicillin/ampicillin 50mg/kg IV + metronidazole + gentamicin/ tobramycin

Surgery if severe perforation

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