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