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Peds-Gastrointestinal
Pediatric
19
Medical
Graduate
02/06/2010

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Cards

Term
A 3wk old infant presents w/ projectile vomiting, infrequent stooling, and wt loss (4oz. X 1wk). What is the likely dx?
Definition
Pyloric stenosis
Term
An infant should regain wt back to their birth wt w/i what time period? After that, how much wt should they gain?
Definition
7-10d, /p 10d gain 1/2 to 1oz/d
Term
What lyte abnormality is seen in pyloric stenosis? Is it more common in males or females?
Definition
Hypochloremic alkalosis. Males.
Term
What is seen on barium swallow in pyloric stenosis? Tx?
Definition
Track sign. Ramstedt pyloromyotomy.
Term
A 3wk old breast-fed infant presents w/ h/o paroxysmal, inconsolable crying and PE is normal. What is the dx?
Definition
Infantile colic
Term
Colic-like abd pain w/ abd distension in children 2mths to 3yo.
Definition
Intussusception
Term
Describe the stool in intussusception.
Definition
Red-currant jelly
Term
What is used to dx and reduce intussuception?
Definition
Air or barium enema
Term
a 7yo girl present w/ h/o recurrent, daytime periumbilical pain X 9-12mths. She has no wt loss, fever, or change in appetite and PE is normal. What is the dx?
Definition
Functional abd pain (FAP)
Term
A 2yo boy presents w/ poor growth from 9mths, buttock/abd wasting, distended abd, and 3-4 foul-smelling stools/d. What is the dx?
Definition
Celiac dz
Term
What confirms a dx of celiac dz?
Definition
Jejunal bx showing lymphocytic infiltration and villous atrophy
Term
What is the most common cause of persistent loose stools in pre-school children?
Definition
Toddler diarrhea
Term
What is the most common cause of encopresis?
Definition
Constipation
Term
What are the 3 times in childhood that constipation typically develops?
Definition
1)Intro of solids (4-6mth) 2)Potty training 3)Entry to school (can dev. functional megacolon)
Term
What congenital condition results in rabbit-pellet like stools and abd distension?
Definition
Hirschsprung dz
Term
What are 3 interventions for an infant w/ GER/GERD?
Definition
1)Thicken fdgs or inert carob-based thickening agents (not if on Zantac) 2)30 degree head-up prone position /p fdg 3)Burp frequently
Term
What is the only indication for using soy-based infant formula?
Definition
Galactosemia
Term
What is the purpose of using a protein hydrosylate based infant formula like alimentum or nutramigen?
Definition
Milk allergy
Term
What infant formula is used for infants w/ CF?
Definition
Elemental (Pregestimil)
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