Paediatric Abdo Surg

Question 1

4 common surg Abdo presentations

Answer 1

Malrotation
Hypertrophic pyloric stenosis
Mesenteric adenitis
Testicular torsion
Intussusception
APPENDICITIS.

Question 2

Most common cause of vomiting in children

Answer 2

Sepsis

Infection

Question 3

Common infections in children causing vomiting and Abdo pain

Answer 3

Meningitis
UTI
Pneumonia
Osteomyelitis

Question 4

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

Answer 4

How old

Boy or girl

Question 5

When malrotation?

Answer 5

Neonate

Question 6

Neonatal period?

Answer 6

28 days corrected.

Question 7

Infancy timeline

Answer 7

28days till 12 months

Question 8

Classic presentation of malrotation?

Answer 8

Bilious vomiting green

Bile is usually yellow

Question 9

Malrotation with volvulus, what Ix?

Answer 9

AXR
U/S
Contrast study

Question 10

Contrast study of malrotation, when surgery?

Answer 10

C for conservative if around pancreas

S for surgery if

Question 11

What else do you do in malrotation surgery before

Answer 11

Appendicectomy. Caecum ends up being in left upper quadrant

Question 12

Pyloric stenosis Incidence?

Answer 12

1:300

Question 13

Pyloric stenosis demographics

Answer 13

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

Question 14

Pyloric stenosis vomit looks?

Answer 14

Non-bilious.

Question 15

Pyloric stenosis after vomit, baby wants?

Answer 15

Want to feed

As opposed to malrotation or sepsis

Question 16

Metabolic disturbance in Pyloric stenosis?

Answer 16

Hypokalaemic
Metabolic alkalosis
Hypochlorimic

Question 17

Urine in Pyloric stenosis?

Answer 17

Paradoxical acid urea

Trying to keep sodium At kidneys

Question 18

When operate for Pyloric stenosis?

Answer 18

When metabolic imbalance settles

Question 19

Pyloric stenosis on U/S see?

Answer 19

Lengthening of pyloris and thickening of wall

Question 20

Interssusception

Demographics

Answer 20

Male

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

Question 21

Intussusception Abdo pain?

Answer 21

Colicky, squeezing from peristalsis

Question 22

Typical Intussusception position of baby

Answer 22

Legs up And colicky

Question 23

Intussusception examination findings

Answer 23

Mass: early sign

Red currant jelly poo

Question 24

Intussusception reduction?

Answer 24

Gas reduction, between 80-120mmhg under fluoroscopy

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

Question 25

Why 5-7 months Intussusception peak?

Answer 25

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

Question 26

Intussusception U/S see what?

Answer 26

Target Sign

Question 27

Appendicitis need to rule out?

Answer 27

UTI - more common

Question 28

Appendicitis Kid's under 5 presentation different how?

Answer 28

Early presentation | Early perforation

Question 29

Mesenteric adenitis is?

Answer 29

Inflammation of lymph nodes, Viral illness Higher temps: 39 Pain can be bilateral lower quadrant Ages of 8-12