asmi
Forum Hero
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separate the clinical senario and imp investigatory findings for ;
1. congenital pyloric stenosis
2. duodenal atresia
3. hurshsprung disease
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| oddissy4u
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1. palpable mass+projectile vomiting at birth /bird beak appearance
2.asso wth other congenital anomalies :!: polyhydramnios?
3.congenital megacolon /absence of plexuses:no passage of meconium /not assoc wth soiling!!
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| Gul
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In addition to what Asmi said:
1-To be more specific , its s/s appear around 2 weeks after birth
2- double bubble appearance on Xray plus ass. with diff. dis. and polyhydramnios
3- For it barium studies would show dilated colon
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| Gul
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sorry , in addition to what oddissy4u said
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| Bela
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In addition to the above info, I'd also add:
Pylorica Stenosis:
1) projectile vomitus is WITHOUT bile (~ week 2)
2) you'd notice peristalsis from R side-->L side of abdomen
Duodenal Atresia:
1) A/w Down's syndrome
2) It's usually distal to Ampulla of Vater
3) vomiting of BILE stained fluid AT BIRTH.
I think there are also a few other conditions that they'd expect us to know how to differentiate in an infant:
Annular Pancreas/Meckel's Diverticulum/Meconeum Ileum[/u]
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La vita e bella!
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| asmi
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thanks..
:arrow: annular pancreas.....baby presents with abdominal distension + constipated + may not take feed . on investigation...band around duodenum ( 2nd part)..
:arrow: meckle's diverticulum....pt may be a child/ adult ..presents with c/o abd cramps + alternate diarrohea and constipation + may pass blood per rectum .
:arrow: meconium ileus...they usually combine it with C.F. senario ...a child of CF ,having thick secretions , salty sweat , constipated and abd bloating and tenderness .
:arrow: intussusception.........child with colicky abd pain + blood in stools
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| Gul
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But in cystic Fibrosis the only 1st complaint that u could get would be inability to pass 1st stool (meconium ileus) , so all other things may not be present at that time .ofcourse on investigating , one would find out
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| Gul
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plus , in intersusception , the bolld in stool is more specificaly described as current jelly stool as its like a jelly . correct me if i am wrong,thanks
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| Gul
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oopps blood :oops:
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| asmi
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as far as i know (from q's)
in exam they never give clues like "current jelly "...
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