T2- GI Disorders: Biliary atresia, imperforate anus, & hernias, GER, ect Flashcards Preview

Pediatrics-MJ > T2- GI Disorders: Biliary atresia, imperforate anus, & hernias, GER, ect > Flashcards

Flashcards in T2- GI Disorders: Biliary atresia, imperforate anus, & hernias, GER, ect Deck (29)
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1
Q

Bile duct fibrosis

A

Biliray atresia

2
Q

Untreated billiary atresia leads to death before ___

A

Age 2

3
Q

What is the treatment for billiary atresia?

A

Surgical liver transplant

4
Q

What type of procedure is associated with biliary atresia?

A

Kasai procedure

5
Q

What does the Kasai procedure do?

A

Hepatic portoenterostomy allows for bile drainage

6
Q

No external opening to the rectum

A

Imperforate anus

7
Q

What is the first sign of imperforate anus?

A

No passage of meconium within first 24 hours

8
Q

What do we check in a patient with imperforate anus?

A

“Anal wink”

9
Q

How do we see where things are with imperforate anus?

A

Imaging

10
Q

Is this a surgical procedure for imperforate anus?

A

Simple “pull through” colostomy and reconstructive repair (high defect)

11
Q

What are the 3 types of hernias?

A

Umbilical
Inguinal
Diaphragmatic

12
Q

What hernia is the most common?

A

Umbilical

13
Q

Problem with the umbilical ring and lets out bowel

A

Umbilical hernia

14
Q

How is umbilical hernia corrected?

A

Surgical correction

15
Q

What can be a problem with umbilical hernia?

A

Stangulation is a problem

16
Q

What are the two types of inguinal hernias?

A

Direct

Indirect

17
Q

What type of hernia:

Abdominal contents herniate through a weak point in the fascia of the abdominal wall and into the inguinal canal

A

Direct inguinal hernia

18
Q

What type of hernia:

Abdominal contents protrude through deep inguinal ring; caused by failure of embryonic closure of the internal inguinal ring (after testicle has passed)

A

Indirect inguinal hernias

19
Q

When does a diaphragmatic hernia occur?

A

7-10th week of gestation

20
Q

Hypoplasia of the lung

A

Diaphragmatic hernia characteistic

21
Q

What are 2 types of abdominal wall defects?

A

Omphalocele

Gastroschisis (contents outside of the body placed back in the body)

22
Q

“Acid indigestion”

A

Gastroesophageal reflux

23
Q

What is GER associated with?

A
  • FTT
  • Bleeding or dysphagia
  • Apnea
  • Bronchospasm
  • Laryngospasm
  • Pneumonia
  • Asthma
24
Q

What is the problem with GER?

A

Lower esophageal sphincter dysfunction, poor clearance of acid, delay in gastric emptying

25
Q

Signs of GER?

A
  • Passive regurgitation or emesis
  • Poor weight gain, burning, gagging/choking after feediing
  • Apnea
  • Recurrent pneumonias
26
Q

What are treatment methods for GER?

A
  • Small frequent meals
  • NG feedings
  • Thickening with rice cereal!!!!
  • Position
27
Q

What are some meds for GER?

A

H2 blockers

Proton pump inhibitors

28
Q

How do we place a GER infant after feeding?

A

UPRIGHT IN INFANT SEAT (like a car seat) after feeding!!!

29
Q

What is the one of the ONLY diseases where putting rice cereal in milk is okay and why?

A

GER patients–helps thicken the milk!!!

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