Flashcards in T2- GI Disorders: Biliary atresia, imperforate anus, & hernias, GER, ect Deck (29):
Bile duct fibrosis
Untreated billiary atresia leads to death before ___
What is the treatment for billiary atresia?
Surgical liver transplant
What type of procedure is associated with biliary atresia?
What does the Kasai procedure do?
Hepatic portoenterostomy allows for bile drainage
No external opening to the rectum
What is the first sign of imperforate anus?
No passage of meconium within first 24 hours
What do we check in a patient with imperforate anus?
How do we see where things are with imperforate anus?
Is this a surgical procedure for imperforate anus?
Simple "pull through" colostomy and reconstructive repair (high defect)
What are the 3 types of hernias?
What hernia is the most common?
Problem with the umbilical ring and lets out bowel
How is umbilical hernia corrected?
What can be a problem with umbilical hernia?
Stangulation is a problem
What are the two types of inguinal hernias?
What type of hernia:
Abdominal contents herniate through a weak point in the fascia of the abdominal wall and into the inguinal canal
Direct inguinal hernia
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)
Indirect inguinal hernias
When does a diaphragmatic hernia occur?
7-10th week of gestation
Hypoplasia of the lung
Diaphragmatic hernia characteistic
What are 2 types of abdominal wall defects?
Gastroschisis (contents outside of the body placed back in the body)
What is GER associated with?
-Bleeding or dysphagia
What is the problem with GER?
Lower esophageal sphincter dysfunction, poor clearance of acid, delay in gastric emptying
Signs of GER?
-Passive regurgitation or emesis
-Poor weight gain, burning, gagging/choking after feediing
What are treatment methods for GER?
-Small frequent meals
-Thickening with rice cereal!!!!
What are some meds for GER?
Proton pump inhibitors
How do we place a GER infant after feeding?
UPRIGHT IN INFANT SEAT (like a car seat) after feeding!!!