Imperforate Anus
- Congenital Anorectal Malformation
- No Anal Opening
- Absence of Meconium
- Gradual Increase in Abdominal Distention
- Surgical Repair
- Bowel Management
Hyperbilirubinemia
- Increased Unconjugated Bilirubin
- Jaundice
- Kernicterus
- Early Feedings
- Heme Oxygenase Inhibitors
- Phototherapy
- Protect Eyes
- Monitor for Dehydration
- Monitor Bilirubin Levels
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
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
Appendicitis
- Fecalith leading to obstruction and infection
- Most commonly affects teenagers
- Initial peri-umbilical visceral pain
- Subsequent somatic right lower quadrant pain
- Rebound tenderness
- Positive psoas sign
- Pain at McBurney's point
- Leukocytosis
- Fever
- Appendectomy
Acute Appendicitis Treatment
- CT Scan
- Immediate Appendectomy
- NPO
- IV Fluids
- Antibiotics
- Tertiary Intention
- Antibiotics Until Afebrile
Cleft Lip or Palate Interventions
- Encourage Bonding
- Prosthodontic Device
- Modified Nipple
- Burping
- Surgical Repair
- Normal Saline Rinse
- Elbow Restraints
- Avoid Rigid Eating Utensils
Epiglottitis Assessment
- Haemophilus Influenzae
- Drooling
- Fever
- Stridor
- Restlessness
- Dyspnea
- Cough
- Tripod Position
- Emergency Treatment
- Do Not Examine Throat
Epiglottitis Interventions
- Maintain Airway
- Upright/Sitting Position
- Humidified Oxygen
- Intubation/Tracheostomy Supplies At Bedside
- IV Antibiotics
- Decrease Anxiety
- NPO
- Vaccine
- Restrain to Prevent Extubation
Tracheoesophageal Fistula (TEF)
- Esophageal Atresia
- Ends in Blind Pouch
- Coughing
- Choking
- Cyanosis
- Drooling
- NPO
- Surgical Emergency
- Aspiration Pneumonia
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
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
Rotavirus
- Reovirus
- Non-enveloped
- Double-Stranded
- RNA Virus
- Linear
- 11 Segments
- Triple Icosahedral Capsid
- Most Common Cause of Diarrhea Worldwide
- Villous Atrophy
- Winter Months
- Day Care Centers
- Oral Rehydration
Celiac Disease Characteristics
- European Descent
- HLA-DQ2
- HLA-DQ8
- Autoimmune-mediated Intolerance of Gliadin
- Dermatitis Herpetiformis
- Weight Loss
- Failure to Thrive
- Decreased Bone Density
- Steatorrhea
- Anemia
Celiac Disease Diagnosis and Treatment
- Blunting of Intestinal Villi
- Lymphocytes in Lamina Propria
- Anti-gliadin Antibodies (IgA)
- Anti-endomysial Antibodies (IgA)
- Anti-tissue Transglutaminase Antibodies (IgA)
- Gluten-Free Diet
- Corticosteroids
- Dapsone
- Intestinal Lymphoma
Ulcerative Colitis Characteristics
- Autoimmune
- Mucosal and Submucosal Only
- Rectal Involvement
- Stepwise Lesions
- Friable Pseudopolyp
- Crypt Abscess
- Loss of Haustra
- Lead Pipe Appearance
- Bloody Diarrhea
Ulcerative Colitis Associations
- Toxic Megacolon
- Colorectal Carcinoma
- Anterior Uveitis
- Pyoderma Gangrenosum
- Ankylosing Spondylitis
- Primary Sclerosing Cholangitis
- P-ANCA
Crohn's Disease Assessment
- Diarrhea
- 5-6 per day
- Cramping Abdominal Pain
- Fever
- Weight Loss
- Malabsorption
- Anemia
- Obstruction
- Fistulas
Crohn's Disease Characteristics
- Terminal Ileum and Colon
- Rectal Sparing
- Transmural Inflammation
- Granulomas
- Skip Lesions
- Cobblestone Mucosa
- Fissures
- Fistulas
- Perianal Disease
- Creeping Fat
- Lymphoid Aggregates
- String Sign on Barium Swallow
Crohn's Symptoms and Associations
- Diarrhea
- Malabsorption
- Bile-Wasting
- Pigment Gallstones
- Oxalate Kidney Stones
- Ankylosing Spondylitis
- Erythema Nodosum
- Uveitis
- Migratory Polyarthritis
Lactose Intolerance
- Lactase Deficiency
- Decreased Lactose Absorption
- Increased Osmotic Load
- Abdominal Pain
- Flatulence
- Diarrhea
- Positive Hydrogen Breath Test
- Decreased Stool pH
- Avoid Dairy
- Lactase Supplementation