Vomiting OME Flashcards Preview

Pediatrics Board Review > Vomiting OME > Flashcards

Flashcards in Vomiting OME Deck (15):
1

bilious emesis

never normal - greenish colored
-total obstruction distal to ampulla of vater

2

volvulus presentation

bilious emesis
-X-ray - double bubble - normal gass beyond

3

tx of volvulus

colon - barium enema - dx and tx

not colon - upper GI series
-tx emergent surgery

4

duodenal atresia

failure to recanalize while gut develops

polyhydramnios - bc can't swallow amniotic fluid

bilious emesis

X-ray - double bubble - no gas beyond

tx - surgery

5

intestinal atresia

vascular compromise in utero
-often mom cocaine - vasoconstriction - gut dies

biliary emesis

6

baby gram with intestinal atresia

double bubble - multi fluid air levels

7

tx of intestinal atresia

resect dead gut - educate mom

8

annular pancreas path

normal pancreas
-second duct does not apoptose from pancreas
-closes off duodenum

polyhydramnios occurs

9

annular pancreas baby gram

double bubble with no gas beyond

10

annular pancreas tx

surgery

11

pyloric stenosis path

hypertrophy of pylorus
-projectile vomiting occurs

12

pyloric stenosis

projectile non-bilious emesis
-olive shaped mass in abdomen

13

diagnosis of pyloric stenosis

donut sign on U/S - thick ring of pylorus

hypochloremic, hypokalemic metabolic acidosis

14

vomiting acid/base

hypochloremic, hypokalemic, metabolic acidosis

15

tx of pyloric stenosis

myomectomy
-rehydrate with IV fluids