Medicine and surgery notes

Apr 24th, 2015
Studypool Tutor
Price: $5 USD

Tutor description

Word Count: 1149
Showing Page: 1/6
INTESTINAL OBSTRUCTION IN PEDRIATRICSCommon Causes of intestinal obstruction A. Extramural causes1.Congenital hernia2.Malrotation 3.Peritoneal bands or volvulus4.Annular pancreasB. Intra luminal causes1.Intestinal atresia or stenosis2.Congenital hypertrophic pyloric stenosis3.Meconium ileus4.Meconium plug syndrome5.Feccal impaction6. Intussusceptions7.Anorectal malformation .Also involve the wall defectsC. Mural causes/within wall1.Hirschsprung's disease2. Neonatal small left colon syndrome.3.Paralytic ileus-infections, electrolyte imbalancesClinical presentationThe cardinal signs and symptoms of intestinal obstruction are (1) Polyhydramnios in the mother-prenatal diagnosis(2) Vomiting(3) Abdominal distention(4) Failure to pass meconium 1-Polyhydramnios is related to the level of obstruction and occurs in approximate 5% of women who have infants with duodenal atresia and 15% of those who have infants with ileal atresia.2-Vomiting occurs early in upper intestinal obstruction, and it is bile-stained if the obstruction is distal to the ampulla of Vater. Lead to:Dehydration - most commonly in small bowel obstruction Signs of Shock - ?urine output (Children- 0.5-1ml/Kg/hr), ?pulses, ?BPHypochloraemic metabolic alkalosis with Paradoxical aciduriaHypokalaemia-loss of electrolytes in vomiting.3-Abdominal distention is related to the level of obstruction, being most marked for distal obstructions. 4-Failure to pass Meconium is passed in 30-50% of newbo

Review from student

Studypool Student
" Solid work, thanks. "
Ask your homework questions. Receive quality answers!

Type your question here (or upload an image)

1826 tutors are online

Brown University

1271 Tutors

California Institute of Technology

2131 Tutors

Carnegie Mellon University

982 Tutors

Columbia University

1256 Tutors

Dartmouth University

2113 Tutors

Emory University

2279 Tutors

Harvard University

599 Tutors

Massachusetts Institute of Technology

2319 Tutors

New York University

1645 Tutors

Notre Dam University

1911 Tutors

Oklahoma University

2122 Tutors

Pennsylvania State University

932 Tutors

Princeton University

1211 Tutors

Stanford University

983 Tutors

University of California

1282 Tutors

Oxford University

123 Tutors

Yale University

2325 Tutors