paediatric general surgery (1) juan bass md frcsc
TRANSCRIPT
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PAEDIATRIC GENERAL SURGERY (1)
JUAN BASS MD FRCSC
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PEDIATRIC SURGICAL REVIEW
PYLORIC STENOSIS INTUSSUSCEPTION MALROTATION SMALL BOWEL OBSTRUCTION APPENDICITIS- MECKEL’S
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PEDIATRIC SURGICAL REVIEW
ESOPHAGEAL ATRESIA CONGENITAL DIAPHRAGMATIC
HERNIA
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PEDIATRIC SURGICAL REVIEW
INGUINOSCROTAL PATHOLOGIES: HYDROCELE HERNIA TESTICULAR TORSION VARICOCELE
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PYLORIC STENOSIS
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NON BILIOUS VOMITINGPROGRESSIVE…..PROJECTILE
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DIFFERENTIAL DIAGNOSIS
PYLORIC STENOSIS FEEDING INTOLERANCE G.E. REFLUX INFECTIONS
UTI CNS GI
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HYDRATION
FONTANELLE EYES MUCOUS MEMBRANES SKIN TURGOR URINARY OUTPUT
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ABDOMINAL EXAMINATION
GASTRIC DISTENTION GASTRIC PERISTALTIC WAVES PYLORIC OLIVE
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PRIORITIES
REHYDRATION CORRECTION OF ELECTROLYTE
AND METABOLIC ABNORMALITIES CONFIRM DIAGNOSIS
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METABOLIC ALKALOSIS HYPOCHLOREMIA HYPOKALEMIA
RENAL LOSS
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ULTRASOUND
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PYLOROMYOTOMY
REHYDRATEDNORMAL ELECTROLYTESALKALOSIS CORRECTED
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INTUSSUSCEPTION
3-4 MONTHS - 2 YRS HEALTHY WELL NOURISHED INTERMITTENT EPISODES OF
IRRRITABILITY AND PAIN, BENDING KNEES
VOMITING, CURRANT JELLY STOOLS
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CONTRAST ENEMA
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KEY ISSUES
DO NOT WAIT FOR BILIOUS VOMITING
DO NOT WAIT FOR BLOOD IN STOOL
YOUNGER….LETHARGY THINK ABOUT DIAGNOSIS
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MALROTATION
NEWBORN… ANY AGE BILIOUS OR “YELLOWISH”
VOMITING MAY OR MAY NOT HAVE
ABDOMINAL DISTENTION
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UGI
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MALROTATION …VOLVULUS
STRANGULATION OBSTRUCTION AGAINST TIME
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ABDOMINAL PAIN
FOREGUT
MIDGUT
HINDGUT
F
M
H
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APPENDICITIS
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MECKEL’S DIVERTICULUM
BLEEDING INFLAMMATION OBSTRUCTION
BANDS INTUSSUSCEPTION
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MECKEL’S DIVERTICULUM
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SMALL BOWEL OBSTRUCTION
HISTORY AND PHYSICAL ABDOMNAL X- RAYS TO CONFIRM
DIAGNOSIS
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BILIOUS VOMITING:MECHANICAL OBSTRUCTION UNTIL PROVEN OTHERWISE
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SBO: KEY ISSUES PRIOR SURGERY?......ADHESIVE OBSTRUCTION
INCARCERATED HERNIA?
INTUSSUSCEPTION?
APPENDICITIS?
CONGENITAL MALROTATION…VOLVULUS BANDS
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ESOPHAGEAL ATRESIA
WITH TRACHEOESOPHAGEAL FISTULA
WITHOUT FISTULA
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ESOPHAGEAL ATRESIA
POLYHYDRAMNNIOS MUCOSY BABY UNABLE TO INSERT NG TUBE ABDOMINAL EXAM/X RAY
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VACTERL ASSOCIATION
VERTEBRAL ANORECTAL CARDIAC TRACHEOESOPHAGEAL RENAL LIMBS
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DIAPHRAGMATIC HERNIA
POSTEROLATERAL DEFECT (BOCHDALEK)
ANTERIOR DEFECT (MORGAGNI)
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DIAPHRAGMATIC HERNIA
PULMONARY HYPOPLASIA
PERSISTENT FETAL PULMONARY CIRCULATION
HIGH MORTALITY
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INGUINO-SCROTAL PATHOLOGIES
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HYDROCELE
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HERNIAS
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INGUINAL HERNIA (4)
INCARCERATION STRANGULATION
TESTIS BOWEL OVARY
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INCARCERATION
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NON REDUCIBLE MASS
INTESTINAL NECROSIS WRONG TECHNIQUE WRONG DIAGNOSIS
HYDROCELE TESTICULAR TORSION EPIDIDYMITIS/ORCHITIS LYMPH NODE ABSCESS
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TESTICULAR TORSION
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VARICOCELE
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KISS PRINCIPLE
HYDROCELETESTICULAR TORSION. OTHER SCROTAL PATHOLOGY
GROIN EMPTY
REDUCIBLE HERNIA
INCARCERATED HERNIA
GROINFULL
NO PAINPAIN
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