Intussusception Pathophysiology

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What is the primary diagnostic method for a herniated intestine?

Rectal exam
Palpation of the inguinal ring (correct)
Chromosomal analysis
Laparoscopy surgery

Why is it essential to keep the suture line dry and free of urine or feces after surgery?

To ease pain
To reduce scarring
To prevent infection (correct)
To promote healing

What is the usual age range when symptoms of Hirschsprung Disease become apparent?

1-2 years
4-6 years
2-4 years
6-12 months (correct)

What is the primary characteristic of stools in a child with Hirschsprung Disease?

Ribbonlike stools (A) Signup and view all the answers

What is the location of the obstructed portion of the bowel in Hirschsprung Disease?

Lower portion of the sigmoid colon (B) Signup and view all the answers

What is the purpose of assessing circulation in the leg after surgery?

To ensure edema is not compressing blood vessels (D) Signup and view all the answers

What is required for the activation of HDV or the delta form?

A coexisting HBV infection (D) Signup and view all the answers

How is H epat it is E transmitted?

Through enteric transmission, similar to hepatitis A (A) Signup and view all the answers

What is a common result of hepatitis viruses causing liver cell destruction?

Increased AST, ALT, and alkaline phosphatase levels (D) Signup and view all the answers

How is the type of virus causing the disease determined?

By recognizing a specific antibody against the virus (B) Signup and view all the answers

What is a possible mode of transmission for hepatitis B and C?

Placental-fetal transfer and contaminated syringes (D) Signup and view all the answers

What is a common symptom of hepatitis viruses?

Asymptomatic to mild symptoms (C) Signup and view all the answers

What is the primary cause of intussusception in some cases?

A 'lead point' on the intestine, such as a polyp or bowel tumor (B) Signup and view all the answers

What is the characteristic appearance of the stool in intussusception?

Red currant jelly-like, with blood and mucus (B) Signup and view all the answers

What is the primary symptom of intussusception in infants?

Severe pain and vomiting (C) Signup and view all the answers

What is the purpose of instillation of a water-soluble solution, barium enema, or air into the bowel in intussusception?

To reduce the invagination (B) Signup and view all the answers

What is the characteristic appearance of an inguinal hernia?

A lump in the groin apparent only on crying (B) Signup and view all the answers

What is the difference between intussusception and inguinal hernia?

Intussusception occurs in the lower bowel, while inguinal hernia occurs in the groin (B) Signup and view all the answers

What is the definitive diagnosis for aganglionic megacolon?

Biopsy of the affected segment (B) Signup and view all the answers

What is the primary goal of therapeutic management for aganglionic megacolon?

To repair the affected section of the intestine (C) Signup and view all the answers

What is the purpose of anorectal manometry?

To measure the pressure exerted in the rectum (C) Signup and view all the answers

What is the typical timeframe for bowel repair surgery in aganglionic megacolon?

12-18 months of age (D) Signup and view all the answers

What is a possible complication of aganglionic megacolon?

Permanent colostomy (D) Signup and view all the answers

What is the primary purpose of screening pregnant women for hepatitis B?

To provide hepatitis B immune globulin and active immunization to the newborn (D) Signup and view all the answers

What is the recommended treatment for hepatitis A?

Increased rest and maintenance of a good caloric intake (D) Signup and view all the answers

Why is it important to dispose of feces carefully when caring for children with hepatitis?

Because the type A virus can be cultured from feces (D) Signup and view all the answers

What is the recommended approach for children with hepatitis?

Encourage them to eat a healthy breakfast (A) Signup and view all the answers

Why is it necessary to dispose of syringes and needles with caution?

Because the type B and C viruses can be transmitted by blood (C) Signup and view all the answers

What is the current status of a vaccine for hepatitis C?

No vaccine is available for hepatitis C (A) Signup and view all the answers