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):
1

Bile duct fibrosis

Biliray atresia

2

Untreated billiary atresia leads to death before ___

Age 2

3

What is the treatment for billiary atresia?

Surgical liver transplant

4

What type of procedure is associated with biliary atresia?

Kasai procedure

5

What does the Kasai procedure do?

Hepatic portoenterostomy allows for bile drainage

6

No external opening to the rectum

Imperforate anus

7

What is the first sign of imperforate anus?

No passage of meconium within first 24 hours

8

What do we check in a patient with imperforate anus?

"Anal wink"

9

How do we see where things are with imperforate anus?

Imaging

10

Is this a surgical procedure for imperforate anus?

Simple "pull through" colostomy and reconstructive repair (high defect)

11

What are the 3 types of hernias?

Umbilical
Inguinal
Diaphragmatic

12

What hernia is the most common?

Umbilical

13

Problem with the umbilical ring and lets out bowel

Umbilical hernia

14

How is umbilical hernia corrected?

Surgical correction

15

What can be a problem with umbilical hernia?

Stangulation is a problem

16

What are the two types of inguinal hernias?

Direct
Indirect

17

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

18

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

19

When does a diaphragmatic hernia occur?

7-10th week of gestation

20

Hypoplasia of the lung

Diaphragmatic hernia characteistic

21

What are 2 types of abdominal wall defects?

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

22

"Acid indigestion"

Gastroesophageal reflux

23

What is GER associated with?

-FTT
-Bleeding or dysphagia
-Apnea
-Bronchospasm
-Laryngospasm
-Pneumonia
-Asthma

24

What is the problem with GER?

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

25

Signs of GER?

-Passive regurgitation or emesis
-Poor weight gain, burning, gagging/choking after feediing
-Apnea
-Recurrent pneumonias

26

What are treatment methods for GER?

-Small frequent meals
-NG feedings
-Thickening with rice cereal!!!!
-Position

27

What are some meds for GER?

H2 blockers
Proton pump inhibitors

28

How do we place a GER infant after feeding?

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

29

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

GER patients--helps thicken the milk!!!

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