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68wm6 p2 Ped Gas Con
Pediatric Gastrointestinal Conditions
Question | Answer |
---|---|
Increased metabolic rates and heat production are how much greater in infants than in adults? | 2-3 times greater |
What is the greatest threat from isotonic dehydration? | Shock |
What is hypotonic dehydration? | Electrolyte deficit exceeds water deficit |
What is hypotonic dehydration? | Proportionately larger loss of water in excess of electrolyte loss |
What is the primary form of dehydration in children? | Isotonic dehydration |
What is the most dangerous form of dehydration in children? | Hypertonic |
How is severity of dehydration in infants determined? | the amount of weight the child has lost |
What is chronic diarrhea? | Diarrhea caused by chronic conditions lasting over 14 days |
What is intractable diarrhea? | occurs in first few months of life and lasts longer than 2 weeks |
What is the most common cause of serious gastroenteritis? | Rotavirus |
What is obstipation? | when there are long intervals between stools |
What is Encopresis? | constipation with fecal soiling but no passing of impated stool |
What dietary modification often relieves the problem of constipation in infants? | *Increased amount of carbohydrates in infant’s formula often relieves problem. *Inreased amounts of fibers and fluids. |
What is Hirschsprungs disease? | Absence of ganglionic innervation of bowel and lack of normal peristalsis |
List 4 S/Sx of Hirschsprungs Disease: | *Failure to pass meconium *Constipation *Ribbon-like stools *Abdominal distention *Anorexia *Vomiting *Failure to thrive *Shock *Enterocolitis |
What is the earliest sign of Hirschsprung's disease? | Failure to pass meconium stools |
Which position is recommended for a child with GER? | The upright prone position |
What is a Meckel’s Diverticulum ? | A small blind pouch near the ileocecal valve fails to disappear completely and may be connected to the umbilicus by a cord |
Symptoms for Meckel's diverticulum usually appear at what age? | Before 2 years old |
What is Crohns Disease? | Is a chronic inflammation that involves all layers of the bowel wall |
What is the diet for Crohns Disease? | *Well-balanced, high-protein, high-calorie diet *Encourage small, frequent meals *Serve meals around medication schedules |
What is the most reliable procedure for DXing PUD? | Endoscopy |
What is Esophageal Atresia (EA) and Tracheoesophageal Fistula (TEF)? | The tissues of the gastrointestinal tract fail to separate properly from the respiratory tract in utero |
How is the exact type of Esophageal Atresia (EA) and Tracheoesophageal Fistula (TEF) determined? | chest films |
What is the surgery called to repair a hernia? | Herniorrhaphy |
What is pyloromyotomy? | It is a surgical procedure in which the pyloric muscle is incised to enlarge the opening to allow food to pass |
What is an Intussusception? | A slipping of one part of the intestine into another portion of the intestine below it ("telescoping of the bowel") |
Children with Intussusception may have bowel movements containing blood and mucus and no feces. What are these called? | Currant-jelly stools |
A child diagnosed with celiac disease must restrict foods containing what? | Gluten |