Pediatric Gastroenterology Flashcards Preview

AANP FNP: Pediatrics > Pediatric Gastroenterology > Flashcards

Flashcards in Pediatric Gastroenterology Deck (21):
1

Some common gastroenteritis pathogens

rotavirus, adenovirus
salmonella, campylobacter, shigella, E. coli
parasitic
inorganic food contents
emotional stress

2

Indications for testing stool with gastroenteritis?

Symptoms greater than 72 hours
Bloody stool present

3

What pathogens require 2 negative stool cultures before returning to day care?

E. coli and shigella

4

When to consider antibiotics for gastroenteritis

Greater than 8-10 stools per day or if organism is isolated

5

What is the first antibiotic of choice for gastroenteritis?

Bactrim (TMP/SMZ, trimethoprim/sulfamethoxazole)

6

Indications for GERD work up in kids

weight loss
choking

7

Risk of long term PPI in kids?

increased risk of anemia

8

Pyloric stenosis

3 weeks to 4 months old
projectile nonbilious vomiting after eating
hungry after vomiting
visible peristalsis waves
"pyloric olive" after vomiting
Abd US, Abd XR shows "string sign", refer to surgery

9

Intussusception

- most occur under 2 yrs old
- colicky pain, vomiting, "currant jelly stool", sausage shaped mass in the RUQ
- US or XR, immediate surgery referral

10

Hirschsprung's Disease (Aganglionic Megacolon)

- bilious vomiting, abdominal distention, infrequent explosive BM, tight anal sphincter with empty rectum
- abd US or XR, biopsy
- refer to surgery

11

Appendicitis

- most common in males 10-30yo
- umbilical pain that shifts to RLQ
- low grade temp, elevated WBC, nausea with 1-2 episodes vomiting, pain with cough
- PROM on physical exam
- refer to surgery

12

Malabsorption

- cystic fibrosis, celiac disease, gluten intolerance, infection
- chronic diarrhea, steatorrhea (bulky, foul smell), failure to thrive
- intensive work up, refer to GI

13

Cystic Fibrosis dietary modifications

Replace pancreatic enzymes (lipase, amylase, trypsin)
Replace fat soluble vitamins (A, D, E, K)

14

At what age does the liver reach adult size and function?

10 years old

15

Signs of severe dehydration (≥10 percent)?

decreased BP and HR, prolonged capillary refill time

16

Physical exam of appendicitis

Psoas' sign
Rebound tenderness
Obturator sign
McBurney's point tenderness

17

Hepatitis pre-icteric and icteric signs and symptoms

Pre-icteric: fatigue, anorexia, n/v, aversion to smoke/alcohol
Icteric: jaundice, weight loss, RUQ pain, clay colored stool and dark urine

18

When does GERD typically resolve in babies?

by 18 months

19

First sign of dehydration in kids (seen in mild dehydration, ≤5 percent)?

decreased urine output

19

Neuroblastoma

- adrenal gland tumor
- abdominal mass, sweating, tachycardia
- urine catecholemines, abdominal ultrasound
- refer to oncology

19

transmission of Hep A, B, C

A- contaminated food and water, shellfish
B- mom to fetus, body fluids
C- blood transfusion, IV drug use