Flashcards in Surgical Problems in Neonates Deck (20)
what is the result of gut perforation?
large amount of gas in the abdomen
what is Wrigley's sign?
gas on both sides of the bowel wall which makes the circles appear very clearly
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
if something was stuck in the lumen, how would the stomach feel?
distended and doughy
symptoms when something is stuck in the lumen
not emptying bowels
what is the soap bubble sign?
dye that does not look a solid colour within the bowels
what would the x ray look like in bowel obstruction?
soap bubble sign
loops that are bigger than they should be
what is a common problem of the bowels in cystic fibrosis?
- stickiness in the bowel creating an obstruction
what is the main issue that can occur with the bowel wall?
atresia of the gut
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
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
what causes bowel distension in atresia?
the dead end in the bowel wall
what is a sign that can easily be missed of a hernia?
groin crease missing (this is also where the incision is)
why can perforation occur in hernias?
canal is too tight
what is laddering of the bowels on an x ray?
a sign of obstruction when the bowel loops line up
what colour is bile when it is vomited?
mossy green colour
what is the main red flag symptom requiring immediate neonatal surgery?
if you don't act asap the bowel will die
what happens in malrotation with volvulus?
duodenum has gone across the spine to the left side, gone to the middle and twisted
what invx should be done in bile vomiting?
upper GI contrast with follow through