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88 Cards in this Set

  • Front
  • Back

Diarrhea

Most common complaint in regards to GI tract

Diarrhea

Clinical manifestation of altered GI function in digestion, absorption or secretion

Diarrhea

Excessive loss of fluid and electrolytes

Diarrhea

Abdominal pain, profuse watery diarrhea, loss of electrolytes

Diarrhea

>3 times/24 hours, watery stool

Rotavirus

Most common cause of diarrhea

Acute Diarrhea

Sudden onset of excessively loosely/watery stools which lasts <14 days

Chronic Diarrhea

>14 days

Chronic Diarrhea

Non-infectious in origin, lactose intolerance, celiac, malabsorption

Persistent Diarrhea

>14 days, infectious origin, continuation of acute diarrhea that wasn't treated

Viral Diarrhea

Self-limited 3-5 days

Viral Diarrhea

Non-bloody, vomiting, watery

Viral Diarrhea

URTI associated, activity not altered, erythematous perianal areas

E. coli

Most common cause of bacterial diarrhea

Parasitic Diarrhea

Will not cause dehydration with mucoid stool

Non-inflammatory Diarrhea

Enterotoxin production, translocation, destruction of villys and adherence of parasites

Inflammatory Diarrhea

Direct invasion of bacteria in the intestine or produce cytotoxin with fluid, protein and cells

Toxigenic Diarrhea

Caused by enterotoxin of V cholera

Rotavirus

With fever, non-stop vomiting and non-stop diarrhea with normal CBC, Fecalysis amd urinalysis

Cholera

Continuous profuse rice watery diarrhea even without urge to defecate

Viral or secretory

Acute diarrhea but there is jo bloody stool with minimal to no mucus, profuse/copious and watery

Lactose intolerance

Acute diarrhea, no blood or mucus, explosive

<24 months

500 ml/day ORS

2-10 yrs old

1000 ml/day ORS

>10 years

200 ml/day ORS

Tetracycline

Cholera Antibiotic of Choice

Ciprofloxacin

Shigella Dysentery Antibiotic of Choice

Metronizadole

Amoebiasis Antiobiotic of Choice

Metronidazole

Giardiasis Antibiotic of Choice

None

Salmonella typhoid Antibiotic of Choice

Vitamin A Deficiency

Photophobia, Bitot's spot, keratomalacia, dry skin, hyperkeratosis pilarisa

50,000 IU

<6 months Vitamin A

100,000 IU

6-12 months Vitamin A

200,000 IU

1-5 years old Vitamin A

Zinc Supplementation

Reduced duration, reduced severity of diarrhea, increase use of ORS and reduction of inappropriate antibiotics

10 mg/day PO for 10-14 days

<6 months Zinc

20 mg/day PO for 10-14 days

6 months-2years Zinc

Anorexia

Prolonged lack of appetite

Dysphagia

Difficulty in swallowing

Odynophagia

Painful swallowing

Regurgitation

Effortless movement of stomach contents into the esophagus and mouth; manifests as drooling

Vomiting

Forceful expulsion of previously ingested material

Visceral Pain

Tends to be dull and aching and is experienced in the dermatome which affected organ receives innervations

Somatic Pain

Intense and is usually well localized

Referred pain

From extraintestinal locations

Hematemesis

When exposed to gastric acid or intestinal juices, blood quickly darkens to resemble coffee grounds

Melena

Black tarry stool or coffee ground stool

Hematochezia

Fresh blood in the stool

Hematochezia

Red or msroom stool due to close proximity of the lower GI to rectum

Jaundice

Yellow discoloration of the patient

Infection

Most common condition that affects suck and swallow

Simple sucking

12 week gestation

Nutritional sucking

34 weeks gestation

Cleft Lip

Hypoplasia of mesenchymal layer

Cleft Lip

Failure of medial nasal and maxillary process to join

Cleft Lip

Associated with cranial facial anomalies

Cleft Palate

Associated with CNS anomalies

Cleft Lip

Feeding is the immediate problem

Cleft Lip

Not an emergency, can be corrected in 2-3 months

Cleft Palate

Corrected usually at >10 mos

Cleft Lip

(-) intraoral pressure

Cleft palate

Uvula bifid

Cleft Palate

Failure of palatal shelves to approximate or fuse

Ankyloglossia

Pereistence of tissue connecting the mouth and dorsal tongue to the persistence of frenulum

Anencephaly

Common in pregnant women with polyhydramnios

Anencephaly

Head > chest circumference

Anencephaly

Absence of brain tissue

8-10 cm

Normal length of esophagus

Cricopharyngeal Constriction

Narrowest constriction of Esophagus

Cricopharyneal achalasia

Incomplete relaxation of UES

LE achalasia

Loss of LE relaxation; bird's peak signs

Achalasia

Regurgitation and dysphagia for solid and liquid

Esophageal Atresia & Tracheoesophageal Fistula

Most common congenital anomaly in esophagus

Esophageal atresia

VACTERL syndrome

Esophageal atresia

Frothing and bubbling at the mouth and nose, coughing, cyanosis, cholong/excessive oral secretion

Esophageal atresia

Feeding exacerbates symptoms

Esophageal atresia

Coiled feeding tube, air distended stomach

Esophageal Atresia with Distal TEF

Most common esophageal atresia

Esophageal Atresia without TEF

2nd most common esophageal atresia

Esophageal Atresia without TEF

Flat abdomen- airless scaphoid abdomen

TEF without esophageal atresia

H Type

TEF without esophageal atresia

Late detection, compatible with life, refractory bronchospasm, recurrent pneumonia

Caustic Ingestion

Vomiting, drooling, refusal to drink, oral burns, dysphagia

Foreign Bodies

Stridor, wheezing, cyanosis, dyspnea

Hypertrophic Pyloric Stenosis

Seen in males, especially first borns, increased in infants with Type B and O blood

Hypertrophic Pyloric Stenosis

Use of erythromycin in 1st weeks of life

Hypertrophic Pyloric Stenosis

Abdominal distension, hyperactive bowel sounds, non-bilious vomiting, failute to thrive

Gastroesophageal Reflux Disease

12 months old with excessive regurgitation and vomiting , poor weight gain, anemia, hematemesis, chest pain, dysphagia