Icm Winter 5 Pediatric Gi

Front 1

what is teh most common tracheoesophageal fistula

Back 1

esophageal atresia with distal tracheoesophageal fistula

VACTEREL

Front 2

what are the associated defects associated with esophageal atresia, tracheoesophageal fistula

Back 2

VACTREL

Front 3

VACTERL

Back 3

associateions with esophageal atresia with distal tracheosageal fistula

Vertebral anamoly
Anal atresia (imperforate)
Cardiac
TEF
Renal anamoly
Limb analomy

Front 4

the most common forms of TEF occur with

Back 4

esophageal atresia

also has VACTREL

Vertebral Column defect
Anal atresia
Cardiac
TEF
Renal
Limb anomalies

*SINGLE ARTERY UMBILICAL A

Front 5

is H type TEF common

Back 5

NOPE, buts its BAD

Front 6

WHAT ARE the clinical manifestations of pyloric stenosis

Back 6

1. male
2, infant
3. projectile vomit, no bile

**hypertrophy of pyloric mm, this is the palpable olive

Front 7

what are the classic lab findings and imaging studies in pyloric stenosis

Back 7

hypochloremic
alkalosis

*string sign on US

Front 8

in boy babies who projectile vomit and have a palpable nodule are they alkalotic or acidotic, high or low Cl

Back 8

alkalotic
low Cl

**pyloric stenosis

Front 9

whats a cool thing to see in pyloric stenosis

Back 9

can see the peristaltic wave in LUQ

**olive is also palpable (hypertrophied pylorus)

**hypochloremic, alkalotic. increased BUN
*jaundice

Front 10

when do you see a string sign on US

Back 10

pyloric stenosis

boy with projectile vomit, hypochloremic, alkalotis

Front 11

whats the relationship btwn functional abd pain and irritable bowel

Back 11

fx abd pain- daily pain, pain NOT associated with meals or pooping, anxiety, perfectionism, prevents kids from going to school. MAKE THEM!!!

IBS- subset of functional abd pain. changes in bowel

**ned to be sure there is no other underlying pathology. look for warnings

Front 12

what are the warning signs of underlying illness in recurrent abd pain

Back 12

when warnings are preesnt. work the pts up!

1. vomit (w bile)
2. fever
3. abnormal screen/lab
4. growth failure
5. pain awakens kid from sleep
6. weight loss
7. pain NOT in umbilical region
8. blood in stool
9. delayed puberty

**even if you DONT have these warnings do a workup, be sure you arent missing something seious

Front 13

why might a kid not want to go to school bc they have daily abd pain, it is not assoicated with meals or pooping but is worse in the am. they tend to worry and be perfectionists

Back 13

functional abdominal pain

they dont want to go to school. MAKE THEM GO

Front 14

whats IBS

Back 14

subset of functional abd pain

Front 15

ok so a kid has belly aches daily and wants to stay home. what if they also have fever, weight loss, vomit, blood in poo, pain that is NOT umbilical, delayed puberty

Back 15

GET THEM CHECKED! WORK THEM UP

Front 16

how to distunguish IBS vs fx abd pain

Back 16

1. lactose free
2. continue tests even w/o warning signs

Front 17

do fiber supplements help with IBS and fx abd pain

Back 17

good for sx of IBS

Front 18

what is the common type of intusseception in kids

Back 18

one bowel is sucked INTO a segment of adjacent bowel

often idiopathic in young kids (rotavirus)

ILEOCOLONIC

Front 19

whats teh clinical presentation of inrussecption

Back 19

recall it causes ileus: abd pain, distension, vomit, constipation

red current stool, LETHARGIC

sudden onset
infant draws knees up and has colicky cry

can palpate a sasauge shape in abd

Front 20

whats teh most direct way to treat intuccucption

Back 20

enema

BUT the kid has been vommiting, you MUST replace fluids before hand

Front 21

red currant stool is assocated with what bowel issue

Back 21

intusscuption

common in kids is ileocolonic

Front 22

why use fluids to tx a pt with intussucption

Back 22

they are dehydrates from vomiting. you MUST rehydrate before you do the contrast enema for reduction

Front 23

what is included in adverse reaction to food

Back 23

food poision
immune
non immune- lactose intolerance

Front 24

what are common fool allergies in kids

Back 24

PEANUTS, cows milk, eggs, soybean, wheat, shellfish etc

**oral tolerance is the suppression of immune response but NOT eating these things

**eathing these things cause HS reactions (allergy), immune reactions to glycoproteins in the food

Front 25

list the 9 most common cases of anaphylaxis (food causese) in kids, list in order or frequency

Back 25

1. PEANUTS
2. tree nuts
3. milk
4. eggs
5. fish
6. shellfish
7. seeds
8. fruit
9. grain

Front 26

unconjugates hyperbiliruben

conjugates hyperbilirubin

Back 26

unconj: indicates increased hemolysis, redecud hepatic removal, altered metabolism

conjugated: decreased excreteion by damaged liver cells, disease of biliary tract- block, sepsis, toxin, inflammation, genetic