ch. 29 alexanders
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| Whats a Nissen? | the fundus (upper part) of the stomach is wrapped around LES (lower esophagus)
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| What is a central venous cath? | cath placed into a large vein in the neck, chest or groin (internal jug, femoral, and subclavian)
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| what is pyloromyotomy? | congenital narrowing of the pylorus.
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| what is a colostomy? | surgical construction of an artificial excretory opening from the colon.
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| what is circumsicion? | excision of the foreskin (prepuce) of the glans penis.
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| what is an orchiopexy? | surgical placement and fixation of the testicles in a normal anatomic position in the scrotal sac.
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| what is myringotomy? | incision of tempanic membrane to treat otitis media.
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| what is a hernia? | protusion of an organ or tissue out of the body cavity in which it normally lies.
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| reducible hernia | hernial contents may be returned to their normal site.
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| irriducible/incarcerated hernia | contents cannot be reduced to their normal site
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| strangulated hernia | incarcerated hernia resulting in interrupted blood supply, ischemia.
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| complete hernia | hernia sac and contents protrude all the way through the defect
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| incomplete hernia | hernial contents do not pretrude completely
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| intestinal obstruction | usually poop, may be calssified as atersia (lack of lumen) or stenosis (narrowing)
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| Teratoma | may be malignant or bening tumors (cyst)
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| hydrocelectomy | abnormal accumaltion of fluid within the scrotum, excision of excess tunica vaginalis (scrotum) of the testis to remove fluid filled sac.
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| T&A | tonsillectomy and adnoidectomy.
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| aside from antibiotic solution, what are shunts soaked in prior to surgery? | saline
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| surgical approach for inserting a ventricular shunt can be done in three ways... | frontal, parietal, and accipital
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| incisions for colostomys | URQ for transverse, and Lower left for sigmoid
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| 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
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| steps for placing a VP shunt | goes into port into a vessel neck, chest, and groin into heart or abdomen.
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| routes of administering anesthesia | inhalation and some oral medications... MASK, LMA, ENDOTRACHEAL
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| pyloric stenosis | narrowing of the pylorus
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| approaches of nissen | laparoscopically, or open
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| what is VSD | ventricular septal defect; opening in the wall (septum) of the lower heart chambers
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| what is ASD | named depending on location: ostium secundum, ostium primum,and astium venous. congenital defects in the atrial septum
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| 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.
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| 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
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| 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.
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| types of acyanotic defects... | Ventricular septal defect,Atrial septal defect,Patent ductus arteriosus,Pulmonary valve stenosis, Aortic valve stenosis,Coarctation of the aorta
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| what is transposition of the great vessel (blue baby syndrome) | great vessels are switched
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| what does Tetrology of Fallot consist of? | VSD, pulmonary stenosis, overriding aorta, thickened right lower chamber of the heart.
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