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55 Cards in this Set
- Front
- Back
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Duodenal Obstruction |
History of polyhydramnios, VACTERL, bilious vomiting without abdominal distention, peristaltic wave in abdomen |
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Duodenal Obstruction |
Double bubble sign |
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GI Decompression with OGT ot NGT |
Treatment for Duodenal Obstruction |
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Duodeno-Duodenostomy |
Surgical repair of Duodenal Obstruction |
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Jejunal Atresia |
Due to intrauterine vascular accidents |
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Malrotation |
Bilious vomiting, abdominal pain, and progressive abdominal distention and tenderness |
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UGIS with SIS |
Diagnosis of malrotation |
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Urgen laparotomy |
Treatment for malrotation |
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Short GUT |
Adverse Effect of resection |
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Meckel Diverticulum |
Most common GI anomaly of all infants |
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Meckel Diverticulum |
Most common remnant of omphalomesenteric duct/vitelline duct |
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Meckel Diverticulum |
Rule of 2s |
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Meckel Diverticulum |
Causes intermittent, painless rectal bleeding characterized as brick colored or curant jelly colored |
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Meckel Scan |
Diagnosis for Meckel Diverticulum |
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Intussusception |
Stools may have blood and mucus (currant jelly) |
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Intussusception |
Sausage-shaped, firm, ill-defined mass |
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Intussusception |
Pain, sausage-shaped abdominal mass, bloody or currant jelly stool |
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Intussusception |
Doughnut or target appeaeance in ultrasound |
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Intussusception |
Coiled spring sign in contrast enemas |
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Reduction |
Treatment for Intussusception |
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Radiologic Reduction |
10% recurrence rate |
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Surgical Reduction |
2-5% recurrence rate |
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Surgical Resection |
0% recurrence rate |
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Peptic Ulcer |
End result of inflammation due ti an imbalance between cytoprotective and cytoroxic factors |
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Peptic Ulcer |
Failure of mucosal defense mechanism |
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1-2 |
PH of stomach content |
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Acetylcholine, Histamine, Gastrin |
Promote gastric acid production |
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Prostaglandin |
Mediator that decrease gastric acid secretion |
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Helicobacter pylori |
Gram negative S-shaped rod that produces urease, catalase and oxidase |
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Fecal-oral or oral-oral |
Mode of Transmission of H. pylori |
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H. Pylori Gastritis |
Abdominal pain or vomiting, refractory Fe deficiency anemia, growtth retardation |
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H. Pylori Gastritis |
Rod-shaped stellate, erosions in EGD |
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PPI + amoxicillin + clarithromycin/metronidazole |
2 weeks of treatment fir H. Pylori Gastritis |
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PPIs |
Drug of choice for secondary ulcer |
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Ulcerative Colitis |
Chronic relapsing inflammatory consdition of the colon, extending continuously from rectum |
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Ulcerative Colitis |
Presents with bloody diarrhea, tenesmus, abdominal pain, weight loss, fatigue, and vomiting |
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Crohn's Disease |
Transmural inflammation in a non-contiguous pattern anywhere from mouth to anus |
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Ileocolic region |
Most common location if Crohn's disease |
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Crohn's Disease |
Pain, diarrhea, and weight loss |
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Late adolescence or young adulthood |
Peak incidence of Crohn's disease |
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Crohn's Disease |
Fever, malaise, diarrhea, vomiting, easy fatigability, growth failure |
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Crohn's Disease |
Extraintestinal manifestions like aphthous ulcers, arthritis, erythema nodosum, digital clubbing renal and gallstones |
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Crohn's Disease |
Ulceration and stenosis of ileocecal valve, cobblestoning |
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Ulcerative Colitis |
Diarrhea with blood, mucus and lus |
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Ulcerative Colitis |
Fulminant Colitis |
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Fulminant Colitis |
Fever, severe anemia, hypoalbuminemia, leuckocytosis and >5 bloody stools |
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Ulcerative Colitis |
Extraintestinal manifestations like pyoderma gangrenosum, sclerosing cholangitis |
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Remission |
PUCAI <10 |
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Mild disease |
PUCAU 10-34 |
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Moderate disease |
PUCAI 35-64 |
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Severe disease |
PUCAI >65 |
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At least 20 |
Clinical response PUCAI decrease |
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Inactive |
PCDAI <10 pts |
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Moderate/severe |
PCDAI >30 pts |
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12.5 |
Clinical response PCDAI decrease |
