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39 Cards in this Set
- Front
- Back
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a congenital absence or closure of a normal body opening or tubular structure
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atresia
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pediatric patients differ from each other according to what?
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age, body weight, and physiological development
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neonate normal heart rate
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120 bpm
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neonate age
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birth to 1 month
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3 major surgical groups
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congenital anomalies, systemic organ infections malignant tumors benign lesions, and trauma or accidental injury
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why is airway management a priority?
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b/c of the smaller diameter of the trachea
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if cold stress, hypoglycemia, hypovolemia, or sepsis occurs,
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prone to respiratory arrest
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what heart rate can under 1 years old tolerate without hemodynamic consequence
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200-250
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why do children suffer heat loss?
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have a larger surface area in relation to body size
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the resting metabolic rate of an infant is what?
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2 to 3 times that of an adult
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why should instruments never be laid on top of the pediatric patient?
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they could restrict circulation to the area or cause bruising
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what dressings are used?
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topical skin adhesive, or collodion, used with steri-strips
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performed to restore the normal nasal passage and prevent damage to growing structures that are important in facial development
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choana atresia
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technique for choanal atresia that produces excellent exposure and has a high rate but requires more operative time
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transpalatal repair
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increased blood loss, and risk of palatal fistula, palatal dysfunction, and maxillofacial growth disturbance are drawbacks of this procedure
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choanal atresia transpalatal repair
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abnormality that usually results from the incomplete closure of the brachial plate between the cleft and pouch
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branchial cleft cyst
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can contain other dermal structures such as hair follicles, sweat glands, and sebaceous glands
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branchial cleft cyst
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what else is excised along with the thyroglossal duct cyst?
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thyroglossal tract up to the base of the tongue
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freely movable cystic mass that lies high in the neck at the midline and is attached to the base of the tongue
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thyroglossal duct cyst
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most common malformation of the thyroid that requires surgical intervention
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thyroglossal duct cyst
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what incision is made during a thyroglossal duct cyst?
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center of the neck along the natural skin crease near the cyst
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abnormal opening between the trachea and esophagus
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tracheoesophageal fistula (TEF)
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during a TEF, what is used for postoperative feeding?
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small gastrostomy feeding tube
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wilms tumor is also called
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pediatric adenosarcoma
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for wilms tumor, what kind of incision?
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midline abdominal
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the vomitus usually does not contain bile because why? (pyloromyotomy)
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obstruction occurs proximal to the ampulla of vatar
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an abdominal wall defect caused by the failure of the abdominal wall to develop just to the right of the umbilical ring
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gastroschisis
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what is placed for decompression of the gastrointestinal tract during gastroschisis
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an orogastric tube
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congenital malformation in which various amounts of abdominal contents protrude into the base of the umbilical cord. covered by a clear sac or membrane
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omphalocele
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what is not used as an anesthetic agent because it makes it harder to replace abdominal content back into the belly during an omphalocele repair?
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nitrous oxide
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a segment of the colon or rectum lacks the necessary ganglion cells, resulting in reduced tone and reduced or absent peristalsis proximally
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Hirschsprung's disease
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diagnosis of hirschsprung's disease is confirmed by what?
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rectal biopsy
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telescoping of one portion of the intestines into the other
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intussusception
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performed to relieve intestinal obstruction by untwisting
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reduction of valvulus
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when does the central part of the intestines normally rotate into its final position
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10th week of pregnancy
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what is usually performed for a high imperforate anus
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colostomy
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surgical correction of an undescended testicle
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orchiopexy
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condition characterized by fusion of the fingers or toes
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syndactylism
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most common form of syndactylism
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symmetric webbing in two hands
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