OnlineMedEd: Pediatrics - "GI Bleed"

Question 1

An x-ray of a baby with necrotizing enterocolitis will show _______________.

Answer 1

pneumatosis intestinalis

Question 2

List the four treatment parameters for NEC.

Answer 2

• NPO
• IVF
• TPN
• Abx

Question 3

Anal fissures in adults are most often caused by ________________.

Answer 3

constipation

Question 4

Anal fissures in neonates are most often caused by _____________.

Answer 4

overly ambitious parental wiping or clinical rectal exams

Question 5

Abrupt-onset, colicky abdominal pain that is relieved by going into the knee-to-chest posture is suggestive of _____________.

Answer 5

intussusception

Question 6

____________ often presents with a sausage-shaped mass in the RUQ.

Answer 6

Intussusception

Question 7

What is a KUB?

Answer 7

An x-ray assessing the kidneys, ureter, and bladder (an abdominal x-ray)

Question 8

What imaging modalities can help diagnose intussusception?

Answer 8

• KUB (looking for perforation)

* US (looking for the target sign of intussusception)

Question 9

Air enemas can treat ______________.

Answer 9

intussusception; they do so by forcing the telescoped bowel back out

Question 10

You may need to do surgery in cases of intussusception in which _______________.

Answer 10

the air enema fails, there is peritonitis, or the KUB shows perforation

Question 11

How is the hematochezia in Meckel’s diverticulum different from the hematochezia in intussusception?

Answer 11

Meckel’s is painless. Intussusception is painful.

Question 12

The ____________ test can tell you if the melena from a baby is maternal blood.

Answer 12

Apt

Question 13

Crohn’s is more likely to present with ___________ diarrhea, while ulcerative colitis presents with _____________- diarrhea.

Answer 13

watery; bloody