peds surgery

Question 1

gurgling, coughing, bubbling in newborn day 1

Answer 1

tracheoesophageal fistula

coiling of NGT on xray

VACTERAL

Question 2

imperforate anus. What should you check for next?

Answer 2

VACTERAL

• tracheoesophageal fistula –> can you intubate?
• cardiac anomlay –> can they withstand surgery

Question 3

congenital diaphragmatic hernia PE

Answer 3

scaphoid abd (bowel in chest)
bowel sounds in chest

Question 4

what do you worry about in CDH?

Answer 4

hypoplastic lung! tx with surfactant, intubate

Question 5

posterior CDH

Answer 5

bochdaleh

Question 6

anteriolat

Answer 6

morgani

Question 7

biliary emesis, double bubble on xray with some distal gas

Answer 7

malrotation

-dx: contrast enema, upper gi series –> surgery

Question 8

biliary emesis, DB, multiple air fluid levels

Answer 8

intestinal atresia

–> worry about short gut syndrome

Question 9

biliary emesis, DB, NO GAS

Answer 9

duodenal atresia (failure of recanalization)

annular pancreas (failure of apoptosis)

Question 10

meconium plug tx

Answer 10

water soluble contrast enema

Question 11

mechanism of hirschsprung

Answer 11

failure of inhibitory neurons to migrate to the colon

-no aurbach or myenteric plexus

Question 12

explosive diarhea after DRE in neonate

Answer 12

hirshsprung

Question 13

suasage shaped mass on Xray?

current jelly stool

Answer 13

intussusception

dx, tx= air contrast enema

Question 14

pyloric stenosis

Answer 14

gastric outlet obstructoin

correct electrolye abnormality (hypochloremic, hypokalemic metabolic alk)

Question 15

dx test of pyloric stenosis?

Answer 15

donut sign on US

Question 16

biliary atresia dx step

Answer 16

phenobarb –> HIDA

Question 17

baby turns blue when it latches to ffed, pink while crying

Answer 17

choanal atresia

Question 18

dx choanal atreisa?

Answer 18

pass a catheter –> you cant