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Flashcards in Surgical Problems in Neonates Deck (20)
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1

what is the result of gut perforation?

large amount of gas in the abdomen

2

what is Wrigley's sign?

gas on both sides of the bowel wall which makes the circles appear very clearly

3

what is the underlying problems in the main problems with the gut?

something gets stuck in the lumen
issue with the bowel wall
something pushing from the outside

4

if something was stuck in the lumen, how would the stomach feel?

distended and doughy

5

symptoms when something is stuck in the lumen

vomiting
not emptying bowels

6

what is the soap bubble sign?

dye that does not look a solid colour within the bowels

7

what would the x ray look like in bowel obstruction?

soap bubble sign
loops that are bigger than they should be

8

what is a common problem of the bowels in cystic fibrosis?

meconium ileus
- stickiness in the bowel creating an obstruction

9

what is the main issue that can occur with the bowel wall?

atresia of the gut

10

classic case of atresia of the gut

gut didn't look right prenatally
begins vomiting within 6 hours and poos but only a little bit

11

what is the key for the normal size of bowel loops on an X-ray?

should be the same as the width of the vertebra

12

what causes bowel distension in atresia?

the dead end in the bowel wall

13

what is a sign that can easily be missed of a hernia?

groin crease missing (this is also where the incision is)

14

why can perforation occur in hernias?

canal is too tight

15

what is laddering of the bowels on an x ray?

a sign of obstruction when the bowel loops line up

16

what colour is bile when it is vomited?

mossy green colour

17

what is the main red flag symptom requiring immediate neonatal surgery?

bile vomiting
if you don't act asap the bowel will die

18

what happens in malrotation with volvulus?

(bile vomiting)
duodenum has gone across the spine to the left side, gone to the middle and twisted

19

what invx should be done in bile vomiting?

upper GI contrast with follow through

20

what is the concern with malrotation with volvulus

if the bowel obstructs the superior mesenteric artery it cuts off the blood supply to the entire midgut