Pediatric Surgery

Question 1

Excessive salivation noted shortly after birth or choking spells when first feeding is attempted

Answer 1

esophageal atresia

Question 2

If a baby with esophageal atresia has a normal gas pattern in the bowel the baby has

Answer 2

-The common form of the 4 types:-

blind pouch in the upper esophagus & a fistula b/n the lower esophagus and the tracheobronchial tree

Question 3

ground-glass appearance in the lower abdomen of baby . Dx? NSIM

Answer 3

Meconium ileus (Cystic fibrosis)
Gastrografin enema- diagnostic and therapeutic

Question 4

Tx for necrotizing enterocolitis

Answer 4

• stope all feedings
• Broad-spectrum antibiotics
• IV fluids
• IV nutrition

Question 5

An infant with abd wall erythema, air in the portal vein, intestinal pneumatosis or pneumoperitoneum. Dx? NSIM?

Answer 5

Necrotizing enterocolitis

Requires surgical intervention

Question 6

nonbilious projectile vomiting after each feeding, palpable “olive-size” mass in the RUQ. Dx? NSIM?

Answer 6

• hypertrophic pyloric stenosis

- Sonogram

Question 7

Tx for hypertrophic pyloric stenosis

Answer 7

• rehydration
• correction of hypochloremic, hypokalemic metabolic alkalosis
• Ramstedt pyloromyotomy or balloon dilation