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11 Cards in this Set
- Front
- Back
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6 year-old boy who's been constipated since 6 months. Stools every 3-4 days; stools are large and hard. Rectal Exam:
-Large Ampulla -Poor tone -Anal wink -Stool in vault -Ab films shows large rectum Next best step in mgmt |
Parental Reassurance - functional constipation
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10 year old boy
-Stomaches at night and day -Vomits occassionally -Occult blood in stool -Father has similar history Diagnosis? |
Peptic Ulcer Disease
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8 year old with:
-Vomitting -Dysphagia -Epigastric pain -Food stuck in throat -No relief via PPI -Eczema and Peanut Allergy Diagnosis and treatment? |
-Eosinophilic Esophagitis
-Food avoidance and corticosteroids |
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16 year old presents with 6 month history of :
-Weight loss -Bloody Diarrhea -Fever -Negative pregnancy test -No skip lesions -P-ANCA positive Diagnosis? |
Ulcerative Colitis
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3 yo evaluated for constipation
-present since shortly after birth -no relief with stool softeners -no fecal soiling Diagnosis? Method of diagnosing? |
Hirschsprungs
Dx'd via barium enema, rectal manometery, rectal biopsy |
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4 week old boy with forcefully, non-billous vomitting
Treatment? |
He has Hypertrophic Pyloric Stenosis
Treated via Surgical Pyloromotomy |
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8 year old boy is hit in the abdomen with bat
-develops fever -n/v -pain radiating to the back -guarding Diagnosis? |
Acute Pancreatitis - serum amylase will be elevated
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14 year old girls with 9 month history of fever, diarrhea, weight loss, blood in stools, skip lesions on colonoscopy.
Diagnosis? |
Chron's Disease
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2 year old presents to the ER with severel days or rectal bleeding but in no pain/distress and no other symptoms
Diagnosis? |
Meckel's Diverticulum
Diagnosed via Radionucleotide Scan |
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15 yo boy who develops bloating, flatulance, diadrrrhea after drinking milk
Best diagnostic study |
Dx- Lactose Intolerance
Study - Hydrogen excretion breath test |
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6 week old infant is admitted to the hospital with jaundice. Her outpatient blood work demonstrated a total bili of 12 and a direct bili of 3.5 mg/dl
What could be responsible? |
Choledochal Cyst - Direct hyperbilirubinemia
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