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47 Cards in this Set

  • Front
  • Back
projectile nonbilious vomiting
dehydration
poor wt gain
"string sign"
hypokalemic hypochloremic metabolic alkalosis
pyloric stenosis
pyloric stenosis - tx
1.correction of metabolic abnlities
2.pyloromyotomy
pyloric stenosis: more common in males / females?
males
T/F: you want to check +FH for pyloric stenosis.
true
diffuse superficial colonic ulceration + crypt abscesses

dx?
UC
skip lesions
crohn disease
transmural fibrosis
strictures
granulomas

dx?
crohn disease
crampy RLQ abd pain
recurrent fever
wt loss
diarrhea

dx?
crohn disease
bloody mucinous diarrheal stool
abdominal pain
tenesmus
toxic megacolon
uc
UC: after 10 yrs of disease, X% risk of CA development
1-2%
IBD workup
1.full colonoscopy + ileoscopy
2.egd
colonic mucosa visulization:
diffuse superficial ulcers
easy bleeding
uc
colonic mucosa visulization:
deep ulcerations
more focal areas
crohn disease
pseudopolyp = crohn / uc?
uc
T/F: safe to do double air contrast barium enema in uc pt
false (precipitate toxic megacolon)
"string sign"
crohn: segmental narrowing of ileum
ibd: tx
1.control inflammation
2.suppress immune system
T/F: anemia, iron & vit B12 & folate deficiency & hypoalbuminemia all common in ibd
true
uc: curative tx
colectomy
crohn disease: surgery indications
1.obstruction
2.hemorrhage
3.perforation
4.fistula
5.ureteral obstruction
T/F: crohn disease curative tx = surgery
false (recurrence 50%)
T/F: uc does not affect the small intestine
true
most common anomaly of GI tract
meckel diverticulum
meckel diverticulum: remnant of...?
omphalomesenteric duct
meckel diverticulum: most common presentation
painless rectal bleeding
meckel diverticulum: dx by...?
meckel scan
meckel diverticulum: tx
surgical resection
hirschsprung disease: cause
failure of ganglion cells (myenteric plexus) to migrate down colon
fails to pass meconium in 1st 24 hrs & requires repeated rectal stimulation to poop

suspect what?
hirschsprung disease
bilious vomiting + poor feeding + abdominal distention

suspect what?
hirschsprung disease
hirschsprung disease: dx confirmation
rectal biopsy
obstipation
absence of bowel movements
constipation: most common causes
1.voluntary withholding
2.functional constipation
constipation: meds etiology
1.lead
2.narcotics
3.phenothiazines
4.vincristine
5.anticholinergics
prune belly syndrome
absent abdominal muscles
anal fissures: tx
1.stool softeners
2.keep clean anus
3.apply petroleum jelly
constipation -> ?
(over time)
functional ileus
In infancy, constipation commonly associated with x
anal fissure
hematemesis
emesis of fresh/old blood from gi tract
hematochezia
fresh/bright red/dark maroon blood from rectum
melena
shiny, jet black, tarry stools, guaiac (+)
when GI bleed, must always 1st check for...?
hypovolemia
malrotation, volvulus: tx
surgery
med improving gastric motility for GERD babies
metoclopramide
irritability
colicky pain
emesis
rectal bleeding
lethargy
tubular mass
no gas in RLQ
coiled-spring (barium enema)
intussusception
intussusception: tx
1.fluid resuscitation
2.barium enema/air enema

absolute contraindication: peritoneal signs
recurrent abdominal pain
at least 3 episodes in 3 mos