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53 Cards in this Set

  • Front
  • Back

hypertrophic pyloric stenosis

congenital abnormality, thickened pyloric sphincter, projectile vomiting

hypertrophic pyloric stenosis

confirmed with ultrasound or S&D exam

esophageal atresia

failure of esophagus to develop as a continuous passage ending in a blind pouch

tracheoesophageal fistula

congenital or acquired communication between trachea and esophagus

tracheoesophageal fisulta

lead to severe and fatal pulmonary complications such as aspiration pneumonia

megacolon

Hirchsprung's disease in children

megacolon

congenital abnormality where absence or marked reduction of parasympathetic ganglion cells in colorectal wall causes immobility and severe constipation resulting in enlarged colon

mechel's divertivulum

congenital. small pouch in wall of large intestine near the junction of the small and large intestine. pouch is remnant of tissue from prenatal development of the digestive system producing acid causing ulcers in bowel

mechel's diverticulum - exam

small bowel contrast

GERD

gastroesophageal reflux disease

GERD

backflow of gastric contents into esophagus

GERD develops when

lower esophageal sphincter fails

GERD produces

burning chest pain

GERD demonstrated by

barium study of esophagus

esophageal spasm occurs at

esophagogastric junction

esophageal spasm condition

dyspahgia

esophageal spasm

barium swallow shows irregularity in esophageal wall indicating mucosal destruction

esophageal varices

dilated veins in the wall of the esophagus most commonly due to portal hypertension

esophageal varices RA

serpiginous thickening of folds, which appear as round of oval filling defects during a barium study of esophagus

define serpiginous

wavy border

achalasia

neuromuscular disorder where gastroesophageal sphincter fails to relax

achalasia RA

barium study demonstrating progressively dilated esophagus with narrowing distal end

hiatial hernia

anatomical abnormality in which part of the stomach protrudes through the diaphragm and up into the chest cavity

hiatial hernia RA

demonstrated by S&D. may be demonstrated on CXR or as soft tissue mass with air fluid level

small bowel obstruction

blockage of the small intestine due to adhesions from previous surgeries, hernia, intussusception, neoplastic or inflammatory strictures or vascular insufficiency

small bowel obstruction RA

demonstrated on either upright or decubitus abdomen - air fluid levels will be seen and loops of bowel distended

inguinal hernia

occurs in groin area, when an organ (usually part of intestine) protrudes through the abdominal wall into inguinal canal

intussusception

telescoping of one part of the intestinal tract into anoyther because or peristalsis (forces the proximal segment of bowel to move distally within the ensheathing outer portion

intussusception

major cause of bowel obstruction in children

neoplastic stricture

stricture due to a tumor or growth

inflammatory stricture

stricture due to inflammation

vascular insufficinecy

not enough blood supply to certain parts

examples of inflammatory strictures

crohn's or ulcerative colitis

examples of vascular insufficiency

arteriosclerosis

crohn's disease

chronic inflammatory disorder, involves all layers of intestinal wall, ulceration and fistulas are common, most often involves terminal ileum and/or proximal portion of colon

crohn's diseases RA

barium studies show irregular thickened mucosal folds, cobblestoned appearance or string sign and skip lesions. CT also demonstrates thick mucosal walls

ileus

inhibition of intestinal motility. occurs to some extent in all patients who undergo abdominal surgery

ileus RA

retention of large amounts of gas and fluid in dilated small and large bowel with no demonstrable point of obstruction

diverticulosis

out pouchings (herniations) of mucosa and submucosa through the muscular layers at points of weakness in the bowel wall (diverticulosis)

main cause of diverticulosis

low fiber diets

diverticulitis

complication of diverticular disease, especially in sigmoid region. retained fecal material trapped in a diverticulum causes inflammation and possible perforation

crohn's location

typically affects the terminal ileum of small bowel and/or proximal portion of colon

ulcerative colitis location

typically affects the rectosigmoid region of colon and may spread to involve entire colon

polyps

growth that arises from mucosa of large intestine, removed due to cancer or risk of cancer, no symptoms until later stages

malignant polyp

sessile lesion with an irregular or lobulated surface

colorectal cancer

most adenocarcinomas are found in rectum and sigmoid


colorectal cancer RA

barium enema will demonstrate apple core or napkin ring filling defect or demonstrate polyp larger than 2cm

volvulus

refers to twisting of bowel on itself, most frequently involves cecum or sigmoid colon

volvulus RA

distended and displaced cecum, BE to confirm, distended rectum without haustral markings (birds beak sign)

cholelithiasis

commonly referred to as gallstones. made of cholesterol making most stones radiolucent unless they contain some calcium

cholelithiasis RA

ultrasound to confirm or ERCP

pneumoperitoneum

free air in peritoneal cavity, caused by perforation of bowel

pneumoperitoneum RA

easiest to recognize sickle shaped lucency right side up CXR or abdominal image. also decubitus abdominal or CT to demonstrate