Gastro ped new 2024 dr-1 (2).pdf

Pediatrics DR. AHMED YASINI Gastrointestinal Disease 2024  Diarrhea Gastroenteritis Acute diarrhea:- is usually caused by Rotavirus then by enteric adenovirus. Chronic diarrhea:- giardiasis ( watery diarrhea) Classic Question : (Drink from lake)...

Pediatrics DR. AHMED YASINI Gastrointestinal Disease 2024  Diarrhea Gastroenteritis Acute diarrhea:- is usually caused by Rotavirus then by enteric adenovirus. Chronic diarrhea:- giardiasis ( watery diarrhea) Classic Question : (Drink from lake) TX - Metronidazole cystic fibrosis, celiac disease, lactose intolerance, cryptosporidium. Diarrhea after Antibiotic – clostridium difficile Stop the Antibiotic > give Vancomycin Diarrhea + seizure – Shigella Travel Diarrhea – E- coli 02.2022 02.2022 02.2022  Pyloric stenosis caused by hypertrophy and spasm of the pyloric muscle> gastric outlet obstruction. May be associated with erythromycin use in the first month of life. Nonbilicus projectile vomiting After vomiting, the infant is hungry and wants to feed again. more common in first-born children. ( more in male)  Pyloric stenosis Dx. US - Best test showing target – like appearance Barium- string sign  Pyloric stenosis hypochloremic, hypokalemic metabolic alkalosis Elevated BUN. Jaundice with unconjugated hyperbilirubinemia may be also occur. TX. IV fluid and electrolyte correction ( Befor surgery) followed by surgical pyloromyotomy (laparoscopic). 02.2022 06.2022  Duodenal atresia Duodenal atresia causes polyhydramnios in utero- the fetus couldn’t swallow the fluid 50% in Premature Associated with Down syndrome , VACTREL Bilious vomiting within hours after birth without abdominal distension Xray : double bubble with no distal bowel gas TX. IV Fluid , NG decompression Surgey : antibiotics should be given before surgery (Duodenoduodenostomy) Duodenal atresia 06.2021  Malrotation and volvulus - Painful abdominal pain with obstruction double bubble if there is duodenal obstruction - Bilious vomiting , Distention, blood stool or melena - Acute pain + signs of obstruction - “cecum is not in RLQ” TX. Surgery ( Ladd,s procedure)  Meckel Diverticulum - Most frequent GIT anomaly - Ectopic gastric tissue - Remanant of omphalomesenteric duct - most diverticula are asymptomatic throughout life - some cause massive, painless GI bleeding usually in