Pediatrics GI/GU Study Set with Questions and Solutions
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Course
GU Peds
Institution
GU Peds
What is the most common cause of acute diarrhea in peds? Rotavirus most common cause
What is the Most common cause of vomiting in childhood? acute viral gastroenteritis
What is recurrent abdominal pain? experience abdominal pain or discomfort at least once per week for at least 2 months (ALARM sy...
Pediatrics GI/GU Study Set with
Questions and Solutions
What is the most common cause of acute diarrhea in peds? ✅Rotavirus most common
cause
What is the Most common cause of vomiting in childhood? ✅acute viral gastroenteritis
What is recurrent abdominal pain? ✅experience abdominal pain or discomfort at least
once per week for at least 2 months (ALARM symptoms - pain that wakes them at night)
What is the most common cause of loose stools in healthy children (usually 6-20
months old who have 3-6 loose stools per day during waking hours; no blood)?
✅Chronic Nonspecific Diarrhea
Barium esophagram shows a dilated esophagus with a tapered "bird's beak" at the GE
junction. What is it? ✅Achalasia of Esophagus (Failure of lower esophageal relaxation
during swallowing)
What type of is kid more likely to have pyloric stenosis? ✅First born, White, male baby
with family hx of the disease.
Why will a child with pyloric stenosis have vomting? ✅Where else do you want the acid
to go if the pyloric sphincter is narrowed.
What is a hallmark S/S of pyloric stenosis? ✅Projectile vomiting with NO BILE
(meaning it's not green)
Visible peristaltic waves may indicate... ✅Pyloric stenosis
*Olive size mass* in upper right quadrant may indicate... ✅Pyloric stenosis
What is the tx for GER ✅H2 antagonist (i.e. Zantac, pepcid)
PPI (i.e. prevacid, prilosec)
How do we treat Pyloric stenosis? ✅aggressive fluid and electrolyte resuscitation
followed by pyloromyotomy.
How is Gastric and Duodenal Ulcer diagnosed? ✅GI endoscopy with specimen.
breath test or stool test.
to test for H Pylori
, What are the S/S of GERD, which is more serious than GER? ✅Poor weight gain
Vomiting, irritable, refusal to eat
Arching of neck
Apnea, cough, pneumonia
How do we treat H Pylori? ✅triple combination of amoxicillin, clarithromycin, and PPI is
most common
What may need to be done to food for child with GERD? ✅Thicken the feeding- adding
rice cereal. Also, burp frequently.
What is intussusception? ✅Telescoping of one part of intestine into another part.
Cause by intestinal obstruction
This is Common in young infants and is a physiological event. Frequent postprandial
regurgitation, ranging from effortless to forceful, is the most common infant symptom.
what is this? ✅Infant with GER(D).
85% of infants spontaneously resolve
An ultrasound shows a "double bubble" on an infant who presents with vomiting (usually
bile-stained) and epigastric distention. What is it? ✅Congenital Duodenal Obstruction
What is the presentation of intussusception? ✅Abrupt severe abd pain. Lining of
intestines inflames, rub together --> inflammation, edema, and decreased blood flow
What are currant jelly stools and what do they indicate? ✅Mixture of blood and mucus
in stool. LATE SIGN that bowel is dying in intussusception. By the time you have currant
jelly stools you have missed the boat.
Would a child with intussusception have green vomit? ✅Yes. The vomit is bilious.
What is the tx for intussusception? ✅Air enema and/or barium enema
Air enema and/or barium enema is the tx for what? ✅intusussception
What is a volvulus? ✅Twisitng of the intestine
What is the most dangerous of GI issues? ✅Volvulus-- Surgical Emergency
When does volvulus usually occur? ✅Volvulus occurs in the 7th-12th week of
gestation
The rotation of bowel leads to... ✅interrupted blood flow and necrosis
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