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Flashcards in peds #3 Deck (196)
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1

paroxysmal abdominal pain or cramping

colic

2

S/Sx of colic

sudden, dibilitating pain, cries, pulls legs up, red faced, fist clenched
usually lasts 3 hours at least 3 times a week

3

management of colic

antiflatulent, parental support

4

passive transfer of gastric contents into the esophagus, starts witin the 1st week of birth

gastroesophageal reflux

5

patho of gastroesophageal refulx

neurimuscular distrubance
(kids at risk: CP, neuro involvement

6

S/Sx of gastroesophageal reflux

passive regurgitation or emesis, poor weight gain, irritability, gagging

7

Dx for gastroesophageal reflux

h&p, barium swallow, upper GI, pH monitoring

8

Rx for gastroesophageal reflux

antacids (decrease acid production)
H2 blockers

9

nissen fundoplication

tightens esophagus for gas. reflux

10

hardening or thickening of pyloric

pyloric stenosis

11

S/sx of pyloric stenosis

forceful vomiting, sour smelling, hungry, dehydration, visible peristalsis

12

Dx of pyloric stenosis

h&p, u/s, barium swallow

13

pyloromyotomy

surgical tx for pyloric stenosis, RUQ incision, post op clear liquids, hear bowel sounds (4-6 hours)

14

telescoping of one portion of the intestines into another

intussusception (MEDICAL EMERGENCY)

15

complication of intussusception

ischemia

16

S.Sx of intussusception

heatlhy child who suddenly has episode of acute colicky, abdominal pain, N/V, jelly like stool

17

how will you know if the intussusception is fixed

you will have normal stools

18

remnant of fetal omphalomesenteric duct that conntects yolk sac with primitive mid-gut during fetal lifecan lead to intussusception

meckel diverticulum

19

S/sx of meckel diverticulum

abdominal pain, bloody stool, anemia (possible)

20

Dx of meckel diverticulum

history, radionucleotide scintigraphy (meckle scan)

21

Tx for meckel diverticulum

surgical removal,
if left untx hemorrhage and bowel obstruction

22

absence of hanglionic innervation to the muscle of a section of the bowel, usually the sigmoid colon, abnormal gene on chromosome 10

hirsprung disease

23

s/sx hirsprung disease

newborn: failure to pass meconium within 24-48 hours after birth, infant: constipation, distention, childhood: constipation, impaction

24

what will a child with hirsprung disease die from

interocolitis

25

Dx of hirsprung disease

history, digital rectal exam, barium enema, rectal biopsy, anorectal menometry

26

Tx for hirsprung

surgery
post op: assess for abdominal distention

27

when is surgery done for hernias

age 2-5

28

S/sx for hernias

lump in groin, asymptomatic, pain

29

intolerance for gluten, causes malnutrition in children

celiac disease

30

when is celiac disease first noted

after several months after introduction of cereals (usually age 1-5)