Pediatric Gastroenterology: TE Fistula Diagnosis and Treatment
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Questions and Answers

What is a characteristic of a neonate with a tracheoesophageal fistula?

  • Gurgling or coughing (correct)
  • Scaphoid abdomen
  • No meconium on exam
  • Imperforate anus

    • What is the primary diagnostic tool for diagnosing anal atresia in a newborn?

  • X-ray of the entire spine
  • Cross-table XR (correct)
  • Complete Metabolic Panel (CMP)
  • Echocardiogram

    • What is a complication of congenital diaphragmatic hernia in utero?

  • Maternal polyhydramnios
  • Tracheoesophageal fistula
  • VACTERL association
  • Hypoplastic lung (correct)

    • What is the primary treatment for gastroschisis?

    <p>Silo to push the bowel back in</p> Signup and view all the answers

    What is the characteristic appearance of the extrophy of bladder?

    <p>Wet, shiny, red sack</p> Signup and view all the answers

    What is the term for the association of vertebral anomalies, anal atresia, cardiac defects, tracheoesophageal fistula, renal disease, and limb abnormalities?

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

    What is the characteristic finding on X-ray for a tracheoesophageal fistula?

    <p>Coiled NG tube</p> Signup and view all the answers

    What is the primary treatment for congenital diaphragmatic hernia?

    <p>Surgical repair</p> Signup and view all the answers

    What is the characteristic of biliary emesis in the newborn?

    <p>Double bubble and green or yellow-appearing vomit</p> Signup and view all the answers

    What is the characteristic radiographic finding in a patient with Duodenal Atresia or Annular Pancreas?

    <p>No gas on XR</p> Signup and view all the answers

    Which of the following is a common association with Duodenal Atresia?

    <p>Down's Syndrome</p> Signup and view all the answers

    A newborn presents with episodic, bilious vomiting and diffuse tenderness on abdominal examination. What is the most likely diagnosis?

    <p>Midgut Volvulus</p> Signup and view all the answers

    What is the pathophysiological mechanism underlying Midgut Volvulus?

    <p>Abnormal rotation of bowel secondary to adhesions</p> Signup and view all the answers

    A patient with Midgut Volvulus may also have which of the following underlying conditions?

    <p>All of the above</p> Signup and view all the answers

    What is the typical age of presentation of a patient with Midgut Volvulus?

    <p>Newborn to 1 month old</p> Signup and view all the answers

    A patient with Malrotation is likely to have which of the following radiographic findings?

    <p>Normal gas pattern distally</p> Signup and view all the answers

    Which of the following is a common risk factor for Midgut Volvulus?

    <p>Premature birth</p> Signup and view all the answers

    What is the typical clinical presentation of a patient with Necrotizing Enterocolitis?

    <p>Sudden, bloody BM</p> Signup and view all the answers

    Which of the following is a common association with Necrotizing Enterocolitis?

    <p>Premature birth</p> Signup and view all the answers

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