Unit 5 Flashcards

(55 cards)

1
Q

cleft lift

A

incomplete fusion of maxillary/nasal strs

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2
Q

when in gestation does cleft lip occur

A

wk 5-8

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3
Q

et of cleft lip

A

congenital dt teratogen

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4
Q

how is cleft lip described

A

indent, fissure, uni or bilateral

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5
Q

incidence of cleft lip

A

1-700 life births

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6
Q

what teratogens may cause cleft lip

A

smoking
viral infc
folic acid def

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7
Q

cleft palate

A

incomplete fusion of palatine str

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8
Q

when in gestation does cleft palate occur

A

wk 9-12

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9
Q

what str is malformed in cleft palate

A

nasal str

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10
Q

occurance of cleft palate

A

1-2000

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11
Q

predispostions for cleft palate

A

smoking

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12
Q

tx for cleft palate

A

sx or graft

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13
Q

major issues with cleft palate

A

speech

breathing

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14
Q

pyloric stenosis

A

muslce hypertrophy and constriction at pyloric sphincter

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15
Q

what is obstructed with the constriction of the pyloric sphincter

A

entrance to duodenum

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16
Q

incidence of pyloric stenosis

A

1 in 1000 births

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17
Q

when does pyloric stenosis occur

A

2-8 weeks old NOT CONGENITAL

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18
Q

whats the ratio of males to females with pyloric stenosis

A

4:1

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19
Q

et of pyloric stenosis

A

idipathic

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20
Q

what 3 conditions are linked to pyloric stenosis

A

hypergastrinemia
PGE (prostaglandin E)
erythromycin exposure

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21
Q

which babies have inc incidence of PGE

A

babies with HF

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22
Q

patho of pyloric stenosis

A

hypertrophy -> constr -> inflm -> obstr

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23
Q

mnfts of pyloric stenosis

A

projectile vomitting
dehydration
malnourishment

24
Q

dx of pyloric stenosis

A

Hx, Px
US
URQ palpation

25
what will an US in a babe with pyloric stenosis show
pyloric reigon enlargement
26
tx for pyloric stenosis
sx to remove excess m
27
when is there in a inc in gastroesophageal reflux
first 3m of life
28
et of gastroesophageal reflux
neuromuscular issue dt functional sphincter problem
29
what is happening with the distal esophageal sphincter in gastroesophageal reflux
incompetent and allows reflux
30
what sphincter is affected in gastroesophageal reflux
distal esophageal sphincter
31
how does esophagitis occur in gastroesophageal reflux
gi content enters esphogous causing inflm
32
what is the course of gastroesophageal reflux
self limiting within a year
33
tx for GE reflux
symptomatic tx H2Ra, PPI modify teaching sev case: fundoplication
34
what teaching is modified for teaching about GE reflux
small meals thicken feed positioning
35
which babies have inc incidence of Hirschsprung disease
inc in male babies
36
incidence of hirschspruing disese HD
1 in 5000 births
37
et of HD
congenital/genetic
38
what gene mutates in HD
Ret proto onco gene (RET)
39
what chr is the RET gene on
10
40
what happens if RET gene is absent
problems signalling between cells, absence of PNS tissue, ganglia in colon
41
what happens in HD
absence of PNS tissue in ganglia resulting in localized area of colon with dec peristalsis
42
where is there abdm distention in HD
area BEFORE the spot in the colon with no PNS
43
tx of HD
sx to remove aganglionic segment of PNS
44
intussception
part of intestine invaginates into another part
45
where does intussception normally occur
at iliocelcal clave
46
why does intussception occur at the iliocecal valve
the smaller ilium is able to move into the larger cecum
47
incidence of intussception
1-4 in 1000
48
what does invagination lead to
obstr of lumen
49
what happens when the lumen is obstr
inflm -> edema into lumen
50
what happens when there is inc edema in lumen in intussception
inc intraluminal P -> ischemia -> necrosis, perf, peritonitis
51
why does ischemia occur when there is inc intraluminal P
the intraluminal P is > then the venous P causing stasis, no arterial blood moving in, necrosis
52
tx of intussusception
hydrostatic reduction
53
hydrostatic reduction
use of water soluble contrast medium and air P to gently dec intussusception with an endoscope
54
when DONT you use sx in intussusception
obstr/perf
55
when cant you use hydrostatic reduction for intussusception
if perforation is suspected