Pediatric GI Exam #3 Flashcards
(19 cards)
Pyloric Stenosis
Stenosis (narrowing) of pyloric sphincter –> gastric outlet obstruction
Pyloric Stenosis Risk Factors
-Male
-White
-Family history
-3-6wks
Pyloric Stenosis Manifestations
Projectile vomic after feeding
Pyloric Stenosis Diagnosis
Ultrasound
Pyloric Stenosis Treatment
-Rehydration with 5% dextrose with KCl
-Pyloromyotomy
Intussusception
-Intestine (usually small bowel) folds on itself
Intussusception Manifestation
-Abd pain (come and go)
-N/V
-Abd distetnion
-Bloody stool (red current jelly)
Intussusception Complications
-SBO
-Peritonitis
-Bowel perforation
Intussusception Treatment
Enema
Intussusception Diagnosis
Ultrasound
Hirschsprung’s Disease
AKA megacolon
-Result in intestinal blockage
-Requires surgery (pull-through)
may have temporary ostomy
Hirschsprung’s Disease Manifestations
-No BM first 48 hours
-Abd distention
-Vomiting
-FTT, malnutrition, feeding problems
Omphalocele
In utero, hernia into umbilical cord
Omphalocele Manifestions
Born with midline abd mass covered by thin sac
-Umbilical cord is inserted at apex of defect
Omphalocele Treatment
Initial Stabilization
-Temp regulation
-Fluid resuscitation
-Protection of sac with sterile dressing
Surgical Options
-Small defect: primary closure
-Large Defect: Over time organs are moved back into abdomen
Gastroschisis
Intestines protrude through abd wall WITHOUT protective sac
Gastroschisis Manifestions
-Born with exposed, edematous and possibly thickened bowel loops
-Umbilical cord normal
Gastroschisis Complications
-Infection
-Prolonged ileus and feeding intolerance
-Short bowel syndrome
Gastroschisis Treatment
Immediate
-Temp regulation
-Fluid resuscitation
-Place exposed bowel in sterile bag
Surgery
-Primary closure if small
-Use silo if too big or swollen
