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Flashcards in Pediatric GI Deck (12)
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1
Q

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

A

24 hour intraesophageal pH AND IMPENDANCE monitoring

*Impendence testing measures the direction of the bolus movement

2
Q

Where is the most common site for intussusception?

A

Ileocecal junction

3
Q

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

A
  • HYPOchloremic*
  • HYPOkalemic*
  • Metabolic alkalosis*
4
Q

What is an INITIAL hallmark feature of hirschsprung disease?

A

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

5
Q

What are three highly suggestivive signs of hirschsprung disease?

A

Palpapble stool throughout abdomen

Empty rectal vault

Hx of never having an unassisted stool

6
Q

What is required for definitive diagnosis of hirschsprung disease?

A

Rectal biopsy

7
Q

The direct Coombs test is performed…

A

directly on RBCs from the patient

8
Q

When would you use a direct coombs test?

A

Used where hyperbilirubinemia is felt to result from hemolysis…

ESPECIALLY ABO incompatibility in newborns

9
Q

Which babies are at highest risk for hyperbili?

A

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

10
Q

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

A

Biliary atresia

11
Q

What are the three signs/symptoms of biliary atresia?

A

Cholestatic jaundice (conjugated hyperbili)

Hepatomegaly

Acholic stools

12
Q
A