Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Intern Content > Pediatrics - Abdominal > Flashcards

Pediatrics - Abdominal Flashcards

1
Q

Writhing for a POC suggests

A

Obstruction, ie colic or intussusception

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

0-3 months, give 6 emergent reasons for abdominal pain

A 
Necrotizing enterocolitis
Volvulus
Hirschsprung's disease
Incarcerated hernia
Testicular Torsion
Nonaccidental trauma
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

0-3 months, give 3 nonemergent reasons for abdominal pain

A

Constipation
Acute gastroenteritis
Colic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

3 months to 3 years, give 5 reasons for emergent abdominal pain

A 
Intussusception
Volvulus
Testicular torsion
Appendicitis
Vaso-occlusive crisis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

3 months to 3 years, give 4 reasons for nonemergent abdominal pain

A

UTI
Constipation
Henoch-Shonlein purpura
Acute gastroenteritis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

3 years to adolescence, give 11 emergent reasons for abdominal pain

A 
Appendicitis
Pancreatitis
Vaso-occlusive crisis
Ectopic pregnancy
DKA
Ovarian Torsion
Testicular Torsion
UTI
Tumor
PNA
Cholecystitis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

3 years to adolescence, give 10 nonemergent reasons for abdominal pain

A 
Pregnancy
Henoch-Shonlein purpura
Acute gastroenteritis
IBD
Renal stones
Ovarian cyst
Constipation
Nonspecific viral syndrome
PUD/gastritis
Strep pharyngitis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Intermittent, paroxysmal abd pain in 0-3 months suggests

A

Intussusception
Gastroenteritis
Colic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Constant abdominal pain in 0-3 months suggests

A

Midgut rotation with volvulus

Necrotizing enterocolotis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Most common surgical emergency age 3-15 years

A

Appendicitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Dx that mimics appendicitis but includes upper respiratory sxs

A

Mesenteric adenitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

First step in evaluating any ill-appearing child or in cases of persistent vomiting or poor oral intake

A

Bedside glucose

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Pathognomonic signs of necrotizing enterocolitis

A 
penumatosis intestinalis (air in bowel wall)
portal venous gas
*Normal abd xray does not rule out
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Use of ampicillin in necrotizing enterocolitis

A

Cover gram +

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Use of gentamicin or cefotaxime in necrotizing enterocolitis

A

Cover gram -

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Use of metronidazole or clindamycin in necrotizing enterocolitis

A

Cover anaerobes

17
Q

Infant with abrupt onset of bilious vomiting, constant pain, abdominal distention;
dx?

A

Volvulus

18
Q

Imaging signs of volvulus

A

Corkscrew bowl, bird’s beak contrast cutogg in duodenum

19
Q

Common location for intussusception

A

Ileum into colon

20
Q

Diagnosis of intussusception is made by

A

Immediate air contrast enema

* If free air, skip this step and go straight to surgical consult

21
Q

U/S findings in intussusception

A

Target appearance of bowel within bowel

22
Q

Useful way to assess peritoneal signs in children

A

Walk, cough, jump

23
Q

Appendiceal U/S findings

A 
Max diameter > 6mm
Wall thickness >or= 3mm
Lack of compressibility
Hyperemia on color Doppler U/S
Surrounding edema or fat stranding
Appendicolith
24
Q

Appendicitis meds for nonperforated appendix

A

Cefoxitin

Ampicillin/sulbactam (Unasyn)

25
Q

Appendicitis meds for perforated appendix

A

Piperacillin/tazobactam (Zosyn)

26
Q

Triad of palpable purpuric rash, abdominal pain, arthritis;

dx?

A

HSP

GI bleeding in 50-75% of cases

27
Q

Most significant long-term consequence of HSP

A

Renal: Hematuria/edema/proteinuria

28
Q

Mgmt of incarcerated hernia

A

Manually reduce

Admit

29
Q

Acute pancreatitis in children is defined by:

A

Lipase or amylase >3x normal or imaging

30
Q

Complications of acute pancreatitis in children

A

Intra-abdominal third spacing
Shock
Multiorgan system failure
*Treat aggressively with NS or LR

31
Q

Common reasons for cholelithiasis in kids

A

TPN

SCD

32
Q

Diagnostics in peds cholecystitis

A

Lipase
LFTs
US
*Tests can be normal, does not rule out

33
Q

Charcot’s triad is:

A

Cholangitis: RUQ pain, fever, jaundice

Medical emergency

34
Q

Abx for peds cholecystitis

A

Ampicillin + gentamicin + clindamycin

Intern Content (13 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions