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Flashcards in Pediatric GI Deck (12)
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1

What is the most helpful study to quantify the severity of reflux in GER?

24 hour intraesophageal pH AND IMPENDANCE monitoring

 

 

*Impendence testing measures the direction of the bolus movement

2

Where is the most common site for intussusception?

Ileocecal junction

3

What are the 3 most likely chemical imbalance findings you'd encounter with pyloric stenosis?

HYPOchloremic

 

HYPOkalemic

 

Metabolic alkalosis

4

What is an INITIAL hallmark feature of hirschsprung disease?

Failure to pass meconium within the first 24-48 hours of life

5

What are three highly suggestivive signs of hirschsprung disease?

Palpapble stool throughout abdomen

 

Empty rectal vault

 

Hx of never having an unassisted stool

6

What is required for definitive diagnosis of hirschsprung disease?

Rectal biopsy

7

The direct Coombs test is performed...

directly on RBCs from the patient

8

When would you use a direct coombs test?

Used where hyperbilirubinemia is felt to result from hemolysis...

 

 

ESPECIALLY ABO incompatibility in newborns

9

Which babies are at highest risk for hyperbili?

Babies born to moms who are TYPE O or Rh (-)

10

If you see an elevated conjugated bilirubin level in an infant... think...

Biliary atresia

11

What are the three signs/symptoms of biliary atresia?

Cholestatic jaundice (conjugated hyperbili)

 

Hepatomegaly 

 

Acholic stools

12