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