random other things for now Flashcards

(74 cards)

1
Q

what is intussusception

A

its when the bowel telescopes on intself

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2
Q

when does intussusception occur (age range)

A

6 months - 2 years old

more common in boys

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3
Q

what is red currant jelly stools a sign of

A

intussusception

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4
Q
A
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5
Q

what are the 2 types of volvulus

A

sigmoid
caecal

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6
Q

which type of volvulus is more common

A

sigmoid but its more common in older patients

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7
Q

which type of volvulus is less common

A

caecal

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8
Q

which type of volvulus tend to effect younger patients

A

caecal

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9
Q

what is the tale of volvulus

A

green bilious vomiting

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10
Q

where is the pyloric sphincter located between

A

the stomach and duodenum

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11
Q

what is pyloric stenosis

A

narrowing of the pyloric sphincter

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12
Q

what is a key sign for pyloric stenosis

A

projectile vomiting

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13
Q

Necrotizing enterocolitis (NEC) is a life-threatening illness almost exclusively affecting neonates. NEC has a mortality rate as high as 50%.

A

Necrotizing enterocolitis is caused by bacterial invasion into the intestinal wall. This leads to inflammation and cellular destruction of the wall of the intestine

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14
Q

_______________________, are rare congenital dilations (enlargements) of the bile ducts,

A

Choledochal cysts

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15
Q

Developmental Dysplasia of the Hip is a congenital disorder in which the acetabulum is underdeveloped or there is dislocation of the hip.

A
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16
Q

what position does the baby need to be in to scan for Developmental Dysplasia

A

lateral decub

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17
Q

normal alpha angle for DDH

A

greater than 60 degrees

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18
Q

normal beta angle for DDH

A

less than 55 degrees

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19
Q
A
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20
Q

_____________________ is a rare soft tissue sarcoma occurring
predominantly in the paediatric and adolescent population
that can arise anywhere in the human body.

A

Rhabdomyosarcoma

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21
Q

____________________ is the most common pediatric soft tissue
sarcoma

A

rhabdomyosarcoma

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22
Q

Rhabdomyosarcoma is the third most common solid cancer outside the central nervous system in children (after Wilms tumor and neuroblastoma)

A

Although rhabdomyosarcoma can occur almost anywhere in the body, the cancer has a predilection for several sites (4):

Head and neck region (approximately 35%), usually in the orbit or nasopharyngeal passages: Most common among school-aged children

Genitourinary system (approximately 25%), usually in the bladder, prostate, or vagina: Usually occurring in infants and toddlers

Extremities (approximately 20%): Most common among adolescents

Trunk/miscellaneous sites (approximately 20%

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23
Q

There are 2 major histologic subtypes of rhabdomyosarcoma:

A

Embryonal: Characterized by loss of heterozygosity on chromosome 11p15.5

Alveolar: Associated with translocation t(2;13), which fuses the PAX3 gene with the FOXO1 (FKHR) gene, and t(1;13), which fuses the PAX7 gene with the FOXO1 (FKHR) gene

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24
Q

best position for spine examination

A

infant lying in the prone position, although the
study can also be done with the patient lying on his or her side.

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25
how many veterbrae are in C, T, L, and S segments of the spine
C=7 T=12 L=5 S= 5 sacrum and coccyx
26
other names for C1 and C2 segments of spine
C1- atlas C2- axis
27
28
where should conus medullaris end at
29
cystic area distal to conus
filar cyst
30
for hips the ____________ method is perhaps the most widely used US screening technique
Graf
31
Three anatomic landmarks (______________________________________) are used to measure the α and β angles.
the iliac line, triradiate cartilage, and labrum
32
what is 1
1, chondro-osseous junction between the bony part and the cartilaginous part of the femoral neck;
33
what is 2
2, cartilaginous part of the femoral head (hyaline cartilage);
34
what is 3
3, greater trochanter;
35
what is 4
4, iliac bone;
36
what is 5
5, lower limb of the ilium and bony acetabular roof;
37
what is 6
6, cartilaginous acetabular roof;
38
what is 7
7, acetabular labrum;
39
what is 8
synovial fold
40
The Graf α angle is defined as the angle formed between the ________________________________________ of the ilium in the coronal plane (Fig. 5A). An α angle less than 60° is abnormal and reflects a shallow acetabulum
acetabular roof and the vertical cortex
41
The Graf β angle is formed by a line drawn through the vertical ____________________________ (Fig. 5A). A Graf β angle greater than 55° is abnormal. With superolateral femoral head displacement, the labrum is elevated, thereby increasing the β angle
ilium and the cartilaginous acetabular labrum
42
what is 1
1, a straight iliac line;
43
what is 2
2, the tip of the acetabular labrum; and
44
what is 3
3, the transition from the os ilium to the triradiate cartilage
45
4. A transverse flexion ultrasonography through the right hip joint of a 5-week-old boy with a normal clinical hip examination. A. The hip and knee are flexed 90°, and the ultrasound transducer is placed perpendicular to the lateral aspect of the infant’s hip. B. Transverse ultrasound image shows gluteus muscles (G), the cartilaginous femoral head (FH), metaphysis, ischium (I), and labrum (L)
46
A congenital variant of the liver, can sometimes be seen as an anterior projection of the liver and may extend inferiorly as far as the iliac crest.
Riedel's lobe
47
Congenital malformation in which both kidneys are joined together by an isthmus, most commonly at the lower poles
horseshoe kidney
48
3 congenital biliary tree anomalies
Biliary atresia Choledochal cysts Interposition of the gallbladder
49
found in babies and children so what could it be? intermittent jaundice colicky pain possibly a subhepatic mass displacing the stomach usually diagnosed before 10 years of age
CHOLEDOCHAL CYSTS
50
Ranges from a total absence of biliary tree to formation of a rudimentary gallbladder and cystic duct Suspected with persistent neonatal jaundice (infectious causes must be excluded)
BILIARY ATRESIA
51
T/F Pancreatic pseudocysts can be a congenital finding.
false
52
A congenital disease that is described as narrowing or obliteration of the bile ducts is referred to as:
biliary atresia. key word is congenital
53
is hepatic cyst congenital or acquired or both
both but most are congenital
54
which pathology- liver – developmental defects of bile ducts – asymptomatic – incidental finding – solitary – more often affects the right lobe – vary in size from mm to 20 cm
HEPATIC CYSTS-Congenital
55
SMALL BOWEL a true congenital diverticulum, is a small bulge in the small intestine present at birth. It is a remnant of the omphalomesenteric duct (also called the vitelline duct) It is the most frequent malformation of the gastrointestinal tract. It is present in approximately 2% of the population, with males more frequently experiencing symptoms
MECKELS DIVERTICULUM
56
SMALL BOWEL It is the most frequent malformation of the gastrointestinal tract.
MECKELS DIVERTICULUM
57
SMALL BOWEL A memory aid is the rule of 2's: 2% (of the population) 2% are symptomatic 2 feet (from the ileocecal valve) 2 inches (in length) 2 types of common ectopic tissue (gastric and pancreatic) Most common age at clinical presentation is 2 Males are 2 times as likely to be affected
MECKELS DIVERTICULUM
58
SMALL BOWEL more pseudo kidney sign which is ____________________
INTUSSUSCEPTION
59
SMALL BOWEL The telescoping of bowel--Proximal loop of bowel telescopes into the lumen of the adjacent distal portion Can lead to bowel obstruction, perforation, peritonitis, and vascular compromise Usually occurs in children (between ages 3 mos and 3 years) Symptoms include intermittent, colicky pain, distension, and vomiting, possibly an abdominal mass and rectal bleeding Usually evaluated with ultrasound and corrected with a barium enema
INTUSSUSCEPTION
60
SMALL BOWEL Sonographic appearance - target pattern (donut sign); can have a pseudokidney appearance in the long axis
INTUSSUSCEPTION
61
Occurs in infants with 95% of cases occurring between 3-12 weeks with the peak occurrence at 4 weeks of age
HYPERTROPHIC PYLORIC STENOSIS More common in males (4 to 1)
62
Hypertrophic enlargement of the pyloric muscle (channel between the stomach and the duodenum)
HYPERTROPHIC PYLORIC STENOSIS More common in males (4 to 1)
63
Infants present with PROJECTILE vomiting without bile, dehydration, lethargy and failure to thrive are clinical symptoms
HYPERTROPHIC PYLORIC STENOSIS More common in males (4 to 1)
64
PYLORIC MUSCLE BEING PUSHED DOWN UNDER STOMACH.
65
This is a congenital disorder that causes the body to accumulate excess copper, particularly in the liver, brain, and eyes. This buildup can damage organs and lead to life threatening conditions and thus require the patient to have a liver transplant to prolong life/survive.
wilson disease
66
infantile polycystic kidney disease is characterized by enlarged, echogenic kidneys bilaterally. The individual cysts can be difficult to demonstrate sonographically because
the cyst are microscopic
67
an inherited renal disease that results in bilateral enlargement of fetal kidneys
infantile polycystic kidney disease
68
a congenitally enlarged ureter
megaureter
69
uteropelvic junction obstruction is the most common cause of A) congenital hydronephrosis B) nephroblastoma C) wilms tumor D) prune belly syndrome
A) congenital hydronephrosis
70
This is a common congenital outpouching of the wall of the small intestine
Meckel diverticulum Meckel's diverticulum is a common congenital condition where a small pouch, or diverticulum, forms in the wall of the small intestine, usually near the junction with the large intestine. It's a remnant of the yolk sac connection that nourishes the developing embryo, and in some cases, it can contain tissue from other parts of the digestive system (like the stomach or pancreas)
71
What is a typical feature of a congenital diaphragmatic hernia on ultrasound in a neonate?
A hyperechoic mass in the left chest with associated lung hypoplasia Congenital diaphragmatic hernia (CDH) is a birth defect where the diaphragm, the muscle separating the chest and abdomen, fails to close properly during fetal development, leading to abdominal organs herniating into the chest cavity. This can affect lung development and cause breathing difficulties, especially at birth.
72
a common congenital outpouching of the wall of the intestine. considered to be the most common congenital anomaly of the gastrointestinal tract as a result of incomplete obliteration of the vitelline duct
meckel diverticulum the rule of 2 states that the meckel diverticulum occurs in about 2% of the population, is about 2 inches in length, is usually located within 2 feet of the ileocecal valave, and usually presents before 2 yearsof age
73
An infant is sent to you with a palpable "olive sign" on physical exam. What will you be scanning for?
when the pyloric sphincter muscle is enlarged and palpable on physical examination of the abdomen; often indicative of pyloric stenosis olive sign—when the pyloric sphincter muscle is enlarged and palpable on physical examination of the abdomen; often indicative of pyloric stenosis
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