Intussuseption- telescoping bowel
6mo-2yo more common in males.
Abd. Big w sausage like mass in RUQ
Jelly stool, vomiting
Presents after viral ill
DX-ultra sound, contrast study
Tx- barium to reduce,.manual manipulation
Bowel resection.
Complications- obstruction, gangrene bowel
Pyloric Stenosis
Presents in 1st few weeks of age
Hungry
Thin, pale FTt
Thickening of pylorus valve.
Backs up to stomach and projectile vomit non-billious
Electrolytes imbalance
Dehydration.
OLIVE mass in RUQ
Gastric peristalsis contract ion across stomach = ripples.
Lab=hypochloremia d/t vomit=metabolic Acidosis then met alk
Tx- resection of valve
Volvulus
Cecal, and sigmoid in older kids.
Bowel loops on itself,cuts off blood supply.obstruction
Poor feeding, FORCEFUL BILIOUS VOMITING
X-ray - dialated stomach w lg amt air in small intestine
Dk green stool
MEDICAL EMERGENCY
surgery resection, ng,
Gastroschisis
One in 2000 births
Born between 34-37 weeks.
Bowel eschemia.
Can visualize in utero U.S.
Immediately put in bowel bag w ns
Oh/ng
No bvm or CPAP intubate if need
Fluid loss give 80-120ml/kg/d if D10
Oomphalacele
Encapsulated organ
Umbilical protrusion
Can have bowel ischemia
Tx- prenatal screen
If ruptured treat like gastroschisis
Tx surgery w silo by gravity
Hirshsprungs
X-ray - large dialeted bowel w narrow sz then big again
Ganglian cell nreve can’t pass stool
Abd distention 48hrs after birth= vomiting, bowel obstruction
Dx rectal biopsy
Tx manipulation and bowel regeme or cut out section
Meconium illieus syndrome
Often associated w cystic fibrosis, trisomy 13/18
Bowel obstruction d/t thick mec
Abd swelling, gassy loops
Ivf, barium or surgery if NEC
Mylomenigoceke
Spina bifida
Associated w Arnold chiare2 malformation
Open or closed
Tx if open put wet gz non adhesive
Abx amp & gent
Prone or side laying
Tracheal esophageal fistula
Type c most common associated w VACTERL syndrome
Copious oral secretions, coughing choking worse w feeds
Need of until get nj
Ett needs to be distal to fistula
Surgical resection
Coanal atresia
Bony prominance in back of nares
cleft pallets
Obligatory mouth breathers
Can u pass an ng?
Tx bore.holes
Pierre Robin
Micronanthia
Cleft pallet
Glossoptosis( toungesits back to roof of mouth)
Airway obstructionshort distance chin to thyroid cartilage
Hard intubation
Feed in prone position
Surgical repaint in 3 steps
Tongue to.lip adhesion, distractor for.chin and mandible
Necrotizing Entercoliris
Often fatal
Rusk ifPremie that is formula fed
May have gotten endomethosine dose
Blood in stool
Red abdomentx- npo ng
Hydrate abx
Surgical for.nec
THE MISFITS
T- trauma,thermal,tumor
T- Hypoxia,❤️dz, hTN
E- electrolyte disturbance
M- metobolic derangem
I- inborn error metabolic
S- sepsis
F- formula mishaps
I- intestinal catastrophies
T- toxins
S- sz
Different kinds of seizures
Subtle- repetitve mouth/tongue movements,eye deviation/blinking, bicycling legs
Clonic- repetitve jerky
Tonic- posturing
Myoclonic - multiple jerky motions ( mostly upper limbs)
Neo hypothermia
Neo Hypothermia
Ways to lose heat:
Conduction
