Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
33 Cards in this Set
- Front
- Back
|
congenital conditions involving cystic dilatation of bile ducts
|
choledochal cyst
|
|
|
choledochal cyst: classic triad of presentation
|
intermittent abdominal pain, jaundice, and a right upper quadrant abdominal mass
|
|
|
Congenital lobar emphysema: defn
|
massive inflation of single lobe of lung, usually upper/middle
|
|
|
Congenital lobar emphysema: CXR findings
|
radiolucent affected lobe, compression of other lobe
|
|
|
Congenital lobar emphysema: tx
|
resection for severely symptomatic. good prognosis
|
|
|
Cystic hygroma is aka
|
lymphangioma
|
|
|
Cystic hygroma: tx
|
resect
|
|
|
1st sign of CHF in children
|
hepatomegaly
|
|
|
Most common solid peds malignancy
|
neuroblastoma
|
|
|
neuroblastoma: lab findings
|
90% have incr VMA.
High HVA means worse prognosis |
|
|
neuroblastoma: genetics
|
n-Myc
|
|
|
neuroblastoma: what cell type?
|
neural crest
|
|
|
Most common peds malignancy overall
|
leukemia
|
|
|
nephroblastoma is aka
|
Wilms tumor
|
|
|
nephroblastoma : tx
|
nephrectomy (80% cure)
|
|
|
Biliary atresia: tx
|
need hepatoportenterostomy: exposing the porta hepatis (the area of the liver from which bile should drain) and attaching part of the small intestine to the exposed liver surface.
|
|
|
intussusception: tx
|
reduce with air/contrast enema
|
|
|
intussusception: when to OR?
|
if peritonitis or free air (but ALL adults go to OR)
|
|
|
Duodenal atresia : presentation
|
bilious vomiting, double bubble sign on xray
|
|
|
meconium ileus of cystic fibrosis: what treatment to try?
|
gastrograffin enema (dx and rx)
|
|
|
#1 cause of colon obstruction in peds
|
Hirschsprungs (dx with rectal bx)
|
|
|
NEC: presentation and tx
|
after initiating feeds with blood in stool.
Free air, air in bowel wall, peritonitis, acidosis/thrombocytopenia Must do contrast eval before reconnecting bowel weeks later |
|
|
high imperforate anus: sx
|
meconium in urine (due to fistula to bladder, vagina, or urethra)
|
|
|
What most often causes ileus in kids?
|
Viral infections
|
|
|
intussusception in kids: cause
|
viral infection causing enlargement of peyers patches OR meckels diverticulum
|
|
|
intussusception in kids: ages
|
6 mo - 3 yo
|
|
|
Bilious emesis is ______ until proven otherwise
|
malrotation with volvulus
|
|
|
twisting of mesentery
|
volvulus
|
|
|
Dx of volvulus
|
upper GI series, can see malrotation at duodenal-jejunal jxn
|
|
|
When does volvulus need to go to OR?
|
peritoneal signs
|
|
|
Surgical tx for volvulus
|
Ludd's procedure
Widens mesentery by spreading as wide as possible |
|
|
pyloric stenosis: tx
|
pyloromyotomy
|
|
|
Hirschsprungs: tx
|
Start by decompressing.
Distended bowel is the NORMAL bowel! tight bowel is abnormal because ganglion cells help RELAX colon |
