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88 Cards in this Set
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- Back
Diarrhea |
Most common complaint in regards to GI tract |
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Diarrhea |
Clinical manifestation of altered GI function in digestion, absorption or secretion |
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Diarrhea |
Excessive loss of fluid and electrolytes |
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Diarrhea |
Abdominal pain, profuse watery diarrhea, loss of electrolytes |
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Diarrhea |
>3 times/24 hours, watery stool |
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Rotavirus |
Most common cause of diarrhea |
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Acute Diarrhea |
Sudden onset of excessively loosely/watery stools which lasts <14 days |
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Chronic Diarrhea |
>14 days |
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Chronic Diarrhea |
Non-infectious in origin, lactose intolerance, celiac, malabsorption |
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Persistent Diarrhea |
>14 days, infectious origin, continuation of acute diarrhea that wasn't treated |
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Viral Diarrhea |
Self-limited 3-5 days |
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Viral Diarrhea |
Non-bloody, vomiting, watery |
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Viral Diarrhea |
URTI associated, activity not altered, erythematous perianal areas |
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E. coli |
Most common cause of bacterial diarrhea |
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Parasitic Diarrhea |
Will not cause dehydration with mucoid stool |
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Non-inflammatory Diarrhea |
Enterotoxin production, translocation, destruction of villys and adherence of parasites |
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Inflammatory Diarrhea |
Direct invasion of bacteria in the intestine or produce cytotoxin with fluid, protein and cells |
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Toxigenic Diarrhea |
Caused by enterotoxin of V cholera |
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Rotavirus |
With fever, non-stop vomiting and non-stop diarrhea with normal CBC, Fecalysis amd urinalysis |
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Cholera |
Continuous profuse rice watery diarrhea even without urge to defecate |
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Viral or secretory |
Acute diarrhea but there is jo bloody stool with minimal to no mucus, profuse/copious and watery |
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Lactose intolerance |
Acute diarrhea, no blood or mucus, explosive |
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<24 months |
500 ml/day ORS |
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2-10 yrs old |
1000 ml/day ORS |
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>10 years |
200 ml/day ORS |
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Tetracycline |
Cholera Antibiotic of Choice |
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Ciprofloxacin |
Shigella Dysentery Antibiotic of Choice |
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Metronizadole |
Amoebiasis Antiobiotic of Choice |
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Metronidazole |
Giardiasis Antibiotic of Choice |
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None |
Salmonella typhoid Antibiotic of Choice |
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Vitamin A Deficiency |
Photophobia, Bitot's spot, keratomalacia, dry skin, hyperkeratosis pilarisa |
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50,000 IU |
<6 months Vitamin A |
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100,000 IU |
6-12 months Vitamin A |
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200,000 IU |
1-5 years old Vitamin A |
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Zinc Supplementation |
Reduced duration, reduced severity of diarrhea, increase use of ORS and reduction of inappropriate antibiotics |
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10 mg/day PO for 10-14 days |
<6 months Zinc |
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20 mg/day PO for 10-14 days |
6 months-2years Zinc |
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Anorexia |
Prolonged lack of appetite |
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Dysphagia |
Difficulty in swallowing |
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Odynophagia |
Painful swallowing |
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Regurgitation |
Effortless movement of stomach contents into the esophagus and mouth; manifests as drooling |
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Vomiting |
Forceful expulsion of previously ingested material |
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Visceral Pain |
Tends to be dull and aching and is experienced in the dermatome which affected organ receives innervations |
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Somatic Pain |
Intense and is usually well localized |
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Referred pain |
From extraintestinal locations |
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Hematemesis |
When exposed to gastric acid or intestinal juices, blood quickly darkens to resemble coffee grounds |
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Melena |
Black tarry stool or coffee ground stool |
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Hematochezia |
Fresh blood in the stool |
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Hematochezia |
Red or msroom stool due to close proximity of the lower GI to rectum |
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Jaundice |
Yellow discoloration of the patient |
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Infection |
Most common condition that affects suck and swallow |
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Simple sucking |
12 week gestation |
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Nutritional sucking |
34 weeks gestation |
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Cleft Lip |
Hypoplasia of mesenchymal layer |
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Cleft Lip |
Failure of medial nasal and maxillary process to join |
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Cleft Lip |
Associated with cranial facial anomalies |
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Cleft Palate |
Associated with CNS anomalies |
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Cleft Lip |
Feeding is the immediate problem |
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Cleft Lip |
Not an emergency, can be corrected in 2-3 months |
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Cleft Palate |
Corrected usually at >10 mos |
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Cleft Lip |
(-) intraoral pressure |
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Cleft palate |
Uvula bifid |
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Cleft Palate |
Failure of palatal shelves to approximate or fuse |
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Ankyloglossia |
Pereistence of tissue connecting the mouth and dorsal tongue to the persistence of frenulum |
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Anencephaly |
Common in pregnant women with polyhydramnios |
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Anencephaly |
Head > chest circumference |
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Anencephaly |
Absence of brain tissue |
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8-10 cm |
Normal length of esophagus |
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Cricopharyngeal Constriction |
Narrowest constriction of Esophagus |
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Cricopharyneal achalasia |
Incomplete relaxation of UES |
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LE achalasia |
Loss of LE relaxation; bird's peak signs |
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Achalasia |
Regurgitation and dysphagia for solid and liquid |
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Esophageal Atresia & Tracheoesophageal Fistula |
Most common congenital anomaly in esophagus |
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Esophageal atresia |
VACTERL syndrome |
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Esophageal atresia |
Frothing and bubbling at the mouth and nose, coughing, cyanosis, cholong/excessive oral secretion |
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Esophageal atresia |
Feeding exacerbates symptoms |
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Esophageal atresia |
Coiled feeding tube, air distended stomach |
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Esophageal Atresia with Distal TEF |
Most common esophageal atresia |
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Esophageal Atresia without TEF |
2nd most common esophageal atresia |
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Esophageal Atresia without TEF |
Flat abdomen- airless scaphoid abdomen |
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TEF without esophageal atresia |
H Type |
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TEF without esophageal atresia |
Late detection, compatible with life, refractory bronchospasm, recurrent pneumonia |
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Caustic Ingestion |
Vomiting, drooling, refusal to drink, oral burns, dysphagia |
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Foreign Bodies |
Stridor, wheezing, cyanosis, dyspnea |
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Hypertrophic Pyloric Stenosis |
Seen in males, especially first borns, increased in infants with Type B and O blood |
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Hypertrophic Pyloric Stenosis |
Use of erythromycin in 1st weeks of life |
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Hypertrophic Pyloric Stenosis |
Abdominal distension, hyperactive bowel sounds, non-bilious vomiting, failute to thrive |
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Gastroesophageal Reflux Disease |
12 months old with excessive regurgitation and vomiting , poor weight gain, anemia, hematemesis, chest pain, dysphagia |