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68wm6 p2 Ped Gas Con

Pediatric Gastrointestinal Conditions

QuestionAnswer
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
Created by: Shanejqb