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Medicine (MD/DO)
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First Aid
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First Aid for the USMLE Step 2 CK (10th Ed.)
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Pediatric Gastroenterological Disease

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First Aid for the USMLE Step 2 CK (10th Ed.) | Medicine (MD/DO) School Study Aid

Pediatric Gastroenterological Disease
9 Picmonics to Learn | 18 mins
Hypertrophic Pyloric Stenosis (HPS) Assessment
Mechanism
Hypertrophied Pylorus
Risk Factor
Macrolide Use
Assessment
3-6 Weeks of Age
Projectile Vomiting After Feeding
No Pain or Discomfort
Weight Loss
Dehydration
Hungry Baby
Olive Mass
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2 mins
Hypertrophic Pyloric Stenosis (HPS) Interventions
Treatment
Pyloromyotomy
Preoperative Care
Stabilize Fluid and Electrolyte Balance
Nasogastric Tube
Monitor Feeding
Postoperative Care
Start Formula or Breastfeeding Within 24 Hours
Feedings Every 4-6 hours
Full Feeding Within 2 days
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2 mins
Intussusception
Pathophysiology
Telescoping of Bowel Segments
Lead Point
Assessment
Episodic Abdominal Pain
Diarrhea
Sausage-Shaped Mass
Red Currant Jelly Stools
Diagnosis
Ultrasound/CT
Target Sign
Considerations
More Common in Children
Rotavirus Vaccine Contraindicated
Management
Air or Hydrostatic Enema
Surgical Reduction
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3 mins
Types of Intestinal Obstruction
Mechanical
Adhesions
Hernia
Volvulus
Intussusception
Tumor
Non-Mechanical
Mesenteric Artery Occlusion
Spinal Injury
Paralytic Ileus
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2 mins
Meckel's Diverticulum
Pathophysiology
True Diverticulum
Vitelline Duct
Yolk Stalk
Contain Ectopic Tissue
Pancreatic And Gastric Mucosa
Signs and Symptoms
Hemorrhage
Intussusceptions
Volvulus
Diagnosis
2 Feet From Ileocecal Valve
2 Inches Long
2% Population
First 2 Years Of Life
Pertechnetate T99
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2 mins
Hirschsprung Disease
Failure of Neural Crest Cell Migration
Involves Rectum
Lack of Auerbach and Meissner Plexus
Chronic Constipation
Failure to Pass Meconium
Congenital Megacolon
Increased Risk with Down Syndrome
RET Mutations
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2 mins
Necrotizing Enterocolitis Diagnosis and Management
Diagnosis
Complete Blood Count (CBC)
Blood Cultures
Pneumatosis Intestinalis
Increased Bowel Wall Thickness
Management
NPO with NG Tube to Suction
Broad Spectrum Antibiotics
Surgery
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2 mins
Necrotizing Enterocolitis Characteristics and Clinical Features
Characteristics
Bowel Wall Inflammation
Prematurity
Early Clinical Features
Failure to Thrive
Vomiting
Rectal Bleeding
Late Clinical Features
GI Perforation
Peritonitis
Sepsis and Shock
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2 mins
Annular Pancreas
Characteristics
Congenital Anomaly
Fusion of Ventral and Dorsal Pancreatic Buds
Circumferential Duodenal Compression
Associations
Down Syndrome
Clinical Features
Polyhydramnios
Poor Feeding
Vomiting
Diagnosis
Double Bubble Sign
Management
Surgery
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2 mins

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