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17 Cards in this Set
- Front
- Back
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Describe Hirsphrungs Disease?
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Congenital aganglioic megacolon
Obstruction is causes proximal portion to be enlarged due to lack of nerve fibers to that portion of the intestine. |
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What is the most common location for Hirshprungs disease?
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the rectum
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When is hirshprungs often diagnosed?
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In the nursery because the baby does not have a bowel movement
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What disorder is associated with a higher incidence of hirshprungs?
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Down syndrome
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Which gender is more likely to have hirshprungs?
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Males
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How can megacolon lead to death?
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Inflammation in the megacolon --> Ischemia --> enterocolitis --> perforation of the bowel --> death
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What is enterocolitis?
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inflammation of the small bowel and colon
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What are the SxS of hirshprungs in the newborn period?
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1. Failure to pass meconium within 48 hours after birth
2. Reluctance to ingest fluids 3. Bilestained vomitus 4. Abdominal distention |
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What will the SxS of hirshprungs be in infancy?
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1. Failure to thrive
2. constipation 3. abdominal distention 4. EXPLOSIVE WATERY DIARRHEA, fever, severe exhaustion |
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What will a "child" with hirshprungs have as his SxS?
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1.Constipation
2. Ribbon-like, foul-smelling stool 3. Abdominal distention 4. visible peristalsis 5. fecal massess easily palpable 6.poorly nourished child and anemic |
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What are the ways to diagnose Hirshprungs?
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1. Rectal exam: tight sphinc and absence of stool
2. barium enema 3. anorectal manometry 4. Definitive diagnosis is rectal exam |
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What should a nurse never do if there is fear of enterocolitis?
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Rectal temps!!!
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Why can children with GERD have constipation?
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Delayed gastric emptying
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Which children are at higher risk for developing GERD?
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Prematurity,tracheal-esphogeal atresia, neurological disorders, scoliosis, asthma, CF
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What is tracheal-esphogeal artesia?
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: have a connection between the base of the trachea and their esophagus! So they have fluid in their lungs. Requires surgery and enastomose of the esophagus to the stomach. Have a higher risk for reflux
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Which GI disorder often peaks between 1-4 months of age and resovled by 12 months?
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GERD
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Which gender is GERD more common in?
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Boys affected 3x more than girls
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