Paediatric Abdo Surg Flashcards Preview

Jason's MD3 Paeds > Paediatric Abdo Surg > Flashcards

Flashcards in Paediatric Abdo Surg Deck (29):
1

4 common surg Abdo presentations

Malrotation
Hypertrophic pyloric stenosis
Mesenteric adenitis
Testicular torsion
Intussusception
APPENDICITIS.

2

Most common cause of vomiting in children

Sepsis
Infection

3

Common infections in children causing vomiting and Abdo pain

Meningitis
UTI
Pneumonia
Osteomyelitis

4

2 most important things to know when seeing a patient surg wise

How old
Boy or girl

5

When malrotation?

Neonate

6

Neonatal period?

28 days corrected.

7

Infancy timeline

28days till 12 months

8

Classic presentation of malrotation?

Bilious vomiting green

Bile is usually yellow

9

Malrotation with volvulus, what Ix?

AXR
U/S
Contrast study

10

Contrast study of malrotation, when surgery?

C for conservative if around pancreas

S for surgery if

11

What else do you do in malrotation surgery before

Appendicectomy. Caecum ends up being in left upper quadrant

12

Pyloric stenosis Incidence?

1:300

13

Pyloric stenosis demographics

3-6 weeks
Projectile vomiting
Male
Yes FHx can be if mother had it.

14

Pyloric stenosis vomit looks?

Non-bilious.

15

Pyloric stenosis after vomit, baby wants?

Want to feed

As opposed to malrotation or sepsis

16

Metabolic disturbance in Pyloric stenosis?

Hypokalaemic
Metabolic alkalosis
Hypochlorimic

17

Urine in Pyloric stenosis?

Paradoxical acid urea

Trying to keep sodium At kidneys

18

When operate for Pyloric stenosis?

When metabolic imbalance settles

19

Pyloric stenosis on U/S see?

Lengthening of pyloris and thickening of wall

20

Interssusception
Demographics

Male
Age: 5-7 months Peak, 3mo-3years

21

Intussusception Abdo pain?

Colicky, squeezing from peristalsis

22

Typical Intussusception position of baby

Legs up And colicky

23

Intussusception examination findings

Mass: early sign
Red currant jelly poo

24

Intussusception reduction?

Gas reduction, between 80-120mmhg under fluoroscopy

Doesn't work
Pathological way-point, Meckel's

25

Why 5-7 months Intussusception peak?

-Foods intro
-Stopping breast milk
-Lymph nodes get enlarged from more antigen exposure
-rotavirus

26

Intussusception U/S see what?

Target Sign

27

Appendicitis need to rule out?

UTI - more common

28

Appendicitis Kid's under 5 presentation different how?

Early presentation
Early perforation

29

Mesenteric adenitis is?

Inflammation of lymph nodes,
Viral illness
Higher temps: 39
Pain can be bilateral lower quadrant

Ages of 8-12