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pediatric trauma

ch. 29 alexanders

Whats a Nissen? the fundus (upper part) of the stomach is wrapped around LES (lower esophagus)
What is a central venous cath? cath placed into a large vein in the neck, chest or groin (internal jug, femoral, and subclavian)
what is pyloromyotomy? congenital narrowing of the pylorus.
what is a colostomy? surgical construction of an artificial excretory opening from the colon.
what is circumsicion? excision of the foreskin (prepuce) of the glans penis.
what is an orchiopexy? surgical placement and fixation of the testicles in a normal anatomic position in the scrotal sac.
what is myringotomy? incision of tempanic membrane to treat otitis media.
what is a hernia? protusion of an organ or tissue out of the body cavity in which it normally lies.
reducible hernia hernial contents may be returned to their normal site.
irriducible/incarcerated hernia contents cannot be reduced to their normal site
strangulated hernia incarcerated hernia resulting in interrupted blood supply, ischemia.
complete hernia hernia sac and contents protrude all the way through the defect
incomplete hernia hernial contents do not pretrude completely
intestinal obstruction usually poop, may be calssified as atersia (lack of lumen) or stenosis (narrowing)
Teratoma may be malignant or bening tumors (cyst)
hydrocelectomy abnormal accumaltion of fluid within the scrotum, excision of excess tunica vaginalis (scrotum) of the testis to remove fluid filled sac.
T&A tonsillectomy and adnoidectomy.
aside from antibiotic solution, what are shunts soaked in prior to surgery? saline
surgical approach for inserting a ventricular shunt can be done in three ways... frontal, parietal, and accipital
incisions for colostomys URQ for transverse, and Lower left for sigmoid
increased risks for CHD rubella during 1st 8 wks of gestation, children born with fetal alcohol syndrome, born of insulin dependent mothers, with certain chromosomal defects, positive family history
steps for placing a VP shunt goes into port into a vessel neck, chest, and groin into heart or abdomen.
routes of administering anesthesia inhalation and some oral medications... MASK, LMA, ENDOTRACHEAL
pyloric stenosis narrowing of the pylorus
approaches of nissen laparoscopically, or open
what is VSD ventricular septal defect; opening in the wall (septum) of the lower heart chambers
what is ASD named depending on location: ostium secundum, ostium primum,and astium venous. congenital defects in the atrial septum
patent ductus arteriosus blood vessel in a fetus that connects the pulmonary artery, which carries blood to the lungs and the aorta, which carries blood to the body, so that blood flow bypasses the lungs.
what is acyanotic (not blue) Congenital heart defects that dont normally interfere with the amount of oxygen or blood that reaches the tissues of the body
what is cyanotic (blue) occur when oxygenated and unoxygenated blood mix or when narrowed blood vessels or heart valves cause sluggish blood flow to the body or lungs, , less oxygen-rich blood reaches the tissues of the body.
types of acyanotic defects... Ventricular septal defect,Atrial septal defect,Patent ductus arteriosus,Pulmonary valve stenosis, Aortic valve stenosis,Coarctation of the aorta
what is transposition of the great vessel (blue baby syndrome) great vessels are switched
what does Tetrology of Fallot consist of? VSD, pulmonary stenosis, overriding aorta, thickened right lower chamber of the heart.
Created by: kismet_04