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20 Cards in this Set
- Front
- Back
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What is esophageal atresia?
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Absence of a segment of the esophagus
Exact cause unknown--associated with TEF |
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Baby has polyhydramnios..what is the problem?
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Esophageal atresia
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How do you diagnose an esoph atresia?
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Failure to pass NG tube
CXR Air in abdomen indicates presence of a TEF |
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What is pyloric stenosis?
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Hypertrophy of the circular muscles at the pylorus--it develops in the first few weeks of life
(risk is 4:1 males and highest in the 1st born male) |
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What kind of vomiting is seen with pyloric stenosis?
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progressive, PROJECTILE, and non-bilious
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How is pyloric stenosis diagnosed?
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Ab ultrasound, CXR, barium swallow, and if it gets really bad then hypochloremic metabolic alkalosis
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How is pyloric stenosis corrected?
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Pyloromyotomy
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Who gets duodenal atresia? Why? Where do most occur?
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Down's patients--abnormal recanalization of duodenum
Most occur just distal to the ampulla of vater |
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How does duodenal atresia present? Treatment?
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BILIOUS vomiting, DOUBLE BUBBLE
Surgical correction |
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What is the problem with pancreas divisum?
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Most of the pancreas is forced to drain through the smaller minor papilla--this can cause pancreatitis
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What is a major risk with malrotation of the bowel?
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Volvulus because the gut is anchored over a smaller area
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How is malrotation treated?
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Cut Ladd's bands
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What is gastroschisis?
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Abdominal wall defect always to the right of the umbilicus
Eviscerated small bowel contents with no covering Eviscerated intestines may be--damaged by amniotic fluid or ischemic due to a darrow orifice |
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How is gastroschisis treated?
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return bowel ASAP or silo it
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What is an omphalocele?
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Umbilical cord replaced by sac formed by peritoneum and Wharton's jelly
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What are the 5 2's of Meckel's?
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2 inches long
2 feet from ileocecal valve 2% of population Presents in 1st 2 years of life Has 2 types of epithelium |
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True/False: Meckel's can lead to intussusception.
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TRUE
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What is Hirschsprung's Disease?
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Absence of ganglion cells in the colon
This is due to failure of neural crest to migrate and form the myenteric plexus |
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Where does Hirschsprung's ALWAYS start? How does it present?
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AT THE RECTUM--extends proximally for variable differences and affected colon remains contracted
Delayed meconium, constipation, ribbon like stools, abdominal distention, enterocolitis, poor weight gain |
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What are the three ways that you diagnose Hirschprung's?
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Barium enema
Rectal manometry--no accomodation/no relaxation of internal sphincter Rectal biopsy |
