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Block 7 - GI > Peds GI > Flashcards

Flashcards in Peds GI Deck (17):
1

What conditions is projectile vomiting associated with?

pyloric stenosis
increased intracranial pressure

2

What conditions is bilious vomiting associated with?

anatomic obstruction - surgical emergency

3

What does bloody vomiting suggest?

upper GI bleed

4

newborn with bilious or nonbilious vomiting, delayed passage of meconium past 24 hrs of life, lack of ganglion cells

Hirschsprungs

5

newborn with bilious or nonbilious vomiting, possible pneumatosis (air in intestinal wall), commonly premature

necrotizing enterocolitis

6

0-3 month old, bilious vomiting, abdominal distension, KUB with paucity of bowel gas and corkscrew

malrotation with midgut volvulus - need emergency surgery

7

0-3 month old, nonbilious vomiting, emesis w/i 30 min of feeding, worse in supine

Gastroesophageal reflux - only concern if has pain, cough, poor weight gain

8

nonbilious vomiting, irritability, full anterior fontanelle, lethargy

child abuse

9

3-12 month old, non bilious vomiting may progress to bilious, probs diarrhea, low grade fever

gastroenteritis

10

3-12 month old, bilious vomiting, ab distension, paroxysms of ab pain followed by lethargy, air fluid levels or paucity of distal bowel gas on KUB, bloody stools, palpable sausage shaped mass in RUQ, crescent sign

intussusception - plain films, ultrasound, air contrast edema to diagnose
surgical management when not reduced with contrast enema

11

3-12 month old, nonbilious vomiting, anterior fontanelle fullness

intracranial mass lesion

12

fussy child during and after feedings, stereotypical movements of extension of head and stiffened extension of arms and legs

Sandifer syndrome - pain due to esophagitis from GER

13

4 week old, nonbilious vomiting, hungry infant, projectile vomiting, exam with palpable epigastric mass (olive), hypokalemic hypochloremic metabolic alkalosis

pyloric stenosis - need surgical pyloromyotomy, diagnosis by ultrasound of pyloris or upper GI series

14

excessive saliva, regurgitation, immediate nonbilious vomiting with first food, distension

esophageal atresia - diagnosis if attempt to pass catheter into stomach fails, CXR confirms, need surgical repair

15

periumbilical ab pain migrating to RLQ associated with nausea, vomiting and fever

classic presentation of appendicitis, less commonly seen in children

16

RLQ pain, vomiting, ab tenderness, guarding, elevated WBC, CRP, sterile pyuria

Appendicitis - diagnose by ultrasound or CT if US fails, broad spectrum antibiotics and surgical removal

17

palpable purpuric rash on lower extremities, colicky abdominal pain, vomiting,bloody stool, maybe arthritis or arthralgia, renal dz

HSP - supportive treatment, lasts 4 weeks