14264589
Description
Flashcards by Averil Tam, updated more than 1 year ago
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Created by Averil Tam
almost 6 years ago
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| Question | Answer |
| 1. TRUE/FALSE? A. A mechanical event is always present in a child with bowel obstruction. | False. Patients with paralytic bowel obstruction do not have a mechanical event as the cause. |
| 1. TRUE/FALSE? B. Bilious vomiting in a neonate demands urgent investigation. | True. Bowel obstruction should always be considered if there is bilious vomiting, the younger the child the more likely it is. Midgut volvulus is most common in neonates so bilious vomiting at this age demands urgent investigation and surgical review. |
| 1. TRUE/FALSE? C. Cessation of onward movement of gut contents is always a feature of bowel obstruction. | True. This is the definition of bowel obstruction. |
| 2. TRUE/FALSE? A. Midgut volvulus can be excluded if the physical examination is normal. | False. Physical signs, both general and local, only appear once the bowel is necrotic. Investigation must occur on suspicion of volvulus. |
| 2. TRUE/FALSE? B. A vertical beam abdominal X-ray will detect fluid levels in intestinal obstruction. | False. A horizontal beam film, right side uppermost, is needed to detect fluid levels. |
| 2. TRUE/FALSE? C. Naso-gastric decompression will usually reduce pain in patients with uncomplicated mechanical bowel obstruction. | True. While not invariable, decompression frequently helps reduce pain if gut death has not occurred. |
| 3. TRUE/FALSE? A. Primary intussusception is commonly associated with Rotavirus infection. | True. Rotavirus infection commonly precedes primary intussusception. |
| 3. TRUE/FALSE? B. A normal plain abdominal X-ray reliably rules out intussusception. | False. A normal plain abdominal X-ray does not rule out intussusception. |
| 3. TRUE/FALSE? C. Vomiting is uncommon in intussusception. | False. Vomiting is a common feature of intussusception and may be non-bilious early in the course of the condition. |
| 3. TRUE/FALSE? D. Intussusception may mimic acute gastroenteritis. | True. Always consider this in children <2 years old, especially if pain persists, there is blood in the stool, or child does not look well after rehydration. |
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