Hirschsprung Disease
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Questions and Answers

What is the primary symptom of Hirschsprung Disease in newborns?

  • Severe abdominal pain
  • Vomiting
  • Anorexia-FTT
  • Failure to pass meconium in 24-48 hours (correct)

    • What is the treatment for Hirschsprung Disease?

  • Surgery to remove the impaired part of the colon (correct)
  • Medication to stimulate bowel movement
  • Enema of air to guide the intestines
  • Lifestyle changes to manage symptoms

    • What is the definition of Intussusception?

  • The narrowing or blockage of the intestine
  • The inflammation of the intestine
  • The slipping of one part of the intestine into another part just below it (correct)
  • The protrusion of an organ or tissue through a weak spot in the surrounding muscle or connective tissue

    • What is the treatment for Intussusception?

    <p>Enema of air guided by X-ray</p> Signup and view all the answers

    What is a possible complication of Hirschsprung Disease?

    <p>Abdominal distention</p> Signup and view all the answers

    What is the purpose of a colostomy?

    <p>To bypass a blocked or damaged part of the intestine</p> Signup and view all the answers

    What is a sign of Intussusception?

    <p>Severe abdominal pain</p> Signup and view all the answers

    What is a possible consequence of untreated Intussusception?

    <p>Bowel obstruction</p> Signup and view all the answers

    What is a characteristic of a child with intussusception?

    <p>Projectile vomiting</p> Signup and view all the answers

    What is a common sign of dehydration in a child with bowel obstruction?

    <p>Inelastic skin</p> Signup and view all the answers

    What is the purpose of burping before and during feeding in a child with bowel obstruction?

    <p>To relieve gas and discomfort</p> Signup and view all the answers

    What position is recommended for a child with bowel obstruction after feeding?

    <p>Right side</p> Signup and view all the answers

    What is the primary goal of IV hydration in a child with bowel obstruction?

    <p>To prevent dehydration</p> Signup and view all the answers

    What is a common finding on palpation of a child with intussusception?

    <p>An olive-shaped mass in the RUQ</p> Signup and view all the answers

    What is the primary treatment for celiac disease?

    <p>Gluten-free diet</p> Signup and view all the answers

    What is a characteristic of stool in a child with celiac disease?

    <p>Smelly and frothy</p> Signup and view all the answers

    What is a common finding in the first 24 hours of a newborn with Imperforate Anus?

    <p>Abdominal distention</p> Signup and view all the answers

    What is the primary goal of preoperative care for a newborn with Imperforate Anus?

    <p>Decompression of the stomach with a NG tube</p> Signup and view all the answers

    What is a potential complication of Imperforate Anus?

    <p>Fistula formation</p> Signup and view all the answers

    What is the surgical intervention for Pyloric Stenosis?

    <p>Pyloromyotomy</p> Signup and view all the answers

    What is a key aspect of postoperative care for a newborn with Imperforate Anus?

    <p>Education on colostomy care</p> Signup and view all the answers

    What is the primary goal of nursing care for a newborn with Imperforate Anus?

    <p>Reporting of meconium passage</p> Signup and view all the answers

    What is the typical age range for the appearance of symptoms in Pyloric Stenosis?

    <p>2-3 weeks</p> Signup and view all the answers

    What is the primary focus of postoperative care for a newborn with Pyloric Stenosis?

    <p>Fluid and electrolyte balance</p> Signup and view all the answers

    Study Notes

    Gastrointestinal Diseases

    Hirschsprung Disease

    • Absence of ganglionic innervation in a part of the bowel, leading to constipation and abdominal distention
    • Failure to pass meconium in 24-48 hours
    • Symptoms include vomiting, anorexia, and failure to thrive (FTT)
    • Treatment involves surgery to remove the affected part of the bowel
    • Nursing care involves detection of symptoms, education on treatment and potential colostomy

    Intussusception

    • A slipping of one part of the intestine into another part just below it
    • Symptoms include severe abdominal pain, vomiting, and colicky pain
    • Diagnosis is made using enema of air guided by X-ray
    • Treatment involves surgery if enema does not fix the problem
    • Nursing care involves reporting symptoms, provision of TPN until healed

    Imperforate Anus

    • The perforation between the anus and lower GI tract does not happen, ending in a blind pouch
    • Symptoms include no meconium in the first 24 hours and abdominal distention
    • Treatment involves surgery and potential colostomy
    • Nursing care involves reporting symptoms, education on potential colostomy, and pre-op and post-op care

    Pyloric Stenosis

    • The sphincter from the stomach to the small intestine does not allow for movement
    • Symptoms include projectile vomiting, dehydration, and failure to thrive (FTT)
    • Treatment involves pyloromyotomy and fluid and electrolyte balance
    • Nursing care involves providing small feeds, IV hydration, and post-op care

    Celiac Disease

    • Inability to digest gluten, leading to failure to thrive (FTT) and malabsorption
    • Symptoms include smelly and frothy stool, diarrhea, and weight loss
    • Diagnosis is made using gluten testing
    • Treatment involves a lifelong gluten-free diet
    • Nursing care involves education on gluten-free diet and how to read food labels

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    Description

    This quiz is about Hirschsprung disease, a condition characterized by the absence of ganglionic innervation in a part of the large intestine. It can cause symptoms such as failure to pass meconium in 24-48 hours and abdominal distension. The quiz covers the pathophysiology, signs and symptoms, diagnosis, and treatment of this disease.

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