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
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patho of gastroesophageal refulx
neurimuscular distrubance
(kids at risk: CP, neuro involvement
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S/Sx of gastroesophageal reflux
passive regurgitation or emesis, poor weight gain, irritability, gagging
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Dx for gastroesophageal reflux
h&p, barium swallow, upper GI, pH monitoring
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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
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S/sx of pyloric stenosis
forceful vomiting, sour smelling, hungry, dehydration, visible peristalsis
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Dx of pyloric stenosis
h&p, u/s, barium swallow
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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)
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complication of intussusception
ischemia
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S.Sx of intussusception
heatlhy child who suddenly has episode of acute colicky, abdominal pain, N/V, jelly like stool
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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
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S/sx of meckel diverticulum
abdominal pain, bloody stool, anemia (possible)
20
Dx of meckel diverticulum
history, radionucleotide scintigraphy (meckle scan)
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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
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s/sx hirsprung disease
newborn: failure to pass meconium within 24-48 hours after birth, infant: constipation, distention, childhood: constipation, impaction
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what will a child with hirsprung disease die from
interocolitis
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Dx of hirsprung disease
history, digital rectal exam, barium enema, rectal biopsy, anorectal menometry
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Tx for hirsprung
surgery
post op: assess for abdominal distention
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when is surgery done for hernias
age 2-5
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S/sx for hernias
lump in groin, asymptomatic, pain
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intolerance for gluten, causes malnutrition in children
celiac disease
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