Flashcards in peds #3 Deck (196)
Loading flashcards...
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
