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Flashcards in Surgical cases Deck (22):
1

growth and texture of an external angular dermoid

- grows slowly - not usually noticed until 3-6 months of age
- can feel hard as it lies under the periosteum

2

complications of large haemangiomas

- compression of adjacent structures
- secondary haemorrhage
- high cardiac output failure

3

what are some signs of hydrocephalus

- increased head circumference
- frontal bossing
- widened sutures
- bulging fontanelles
- dilated veins
- setting sun eyes

4

double bubble AXR is a sign of

duodenal atresia

5

management of external angular dermoid

excision through the eyebrow

6

typical presentation of a thyroglossal cyst

tense round cyst in the midline or just to one side which moves on swallowing and on protrusion of the tongue

7

which cutaneous things can be markers of spina bifida if over the spine

hair patch
pigmented naevus
haemangioma
lipoma
sinus

8

complications of torticollis

hemihypoplasia of the face
plagiocephaly

9

difference between exomphalos and gastroschisis

exomphalos - bowel goes into the umbilicus
gastroschisis - bowel through the abdominal wall (with no covering)

10

what causes a tongue tie

when the lingual frenulum is very short

11

natural history of a strawberry naevus

appear shortly after birth as a bright red spot --> rapidly grows - continues for 3-4/12 --> gradual involution begins at around 1 year --> complete by 6-8 years

12

sunsetting eyes is pathoneumonic for

hydrocephalus of the 4th ventricle

13

common complications of cleft lip and palate

- ear nose and throat problems
- abnormal eustachian tube function --> high incidence of OM
- dental/orthodontic problems

14

most common cause of Erb's palsy in infancy

trauma to the brachial plexus during birth (usually breech)

15

what is Hirschprungs disease

Hirschsprung disease is a developmental disorder characterized by absence of ganglia in the distal colon, resulting in a functional obstruction

16

lumps in paediatrics are:

inflammatory
congenital OR
cancer

17

cause of external angular dermoid

anomaly of fusion between the fronto-nasal and maxillary processes during formation of the head and face
- contains skin secretions and peeled skin

18

causes of a white reflex in children

cataracts
retinal tumours
colobomas

19

typical feel of a sternocleidomastoid tumour

hard spindle shaped, painless swelling in the substance of the SCM

20

why does a sacrococcygeal teratoma need immediate surgical removal

has a high risk of turning malignant postnatally

21

what is a strawberry naevus

capillary haemangioma (vascular malformation)

22

what causes a primary cleft anamoly

failure of the mesoderm to merge between the fronto-nasal process and the maxillary process of the first branchial arch between 4-7 weeks gestation