PAEDIATRIC GENERAL SURGERY (1) JUAN BASS MD FRCSC

PEDIATRIC SURGICAL REVIEW PYLORIC STENOSIS INTUSSUSCEPTION MALROTATION SMALL BOWEL OBSTRUCTION APPENDICITIS- MECKEL’S

PEDIATRIC SURGICAL REVIEW ESOPHAGEAL ATRESIA CONGENITAL DIAPHRAGMATIC HERNIA

PEDIATRIC SURGICAL REVIEW INGUINOSCROTAL PATHOLOGIES: HYDROCELE HERNIA TESTICULAR TORSION VARICOCELE

PYLORIC STENOSIS

NON BILIOUS VOMITING PROGRESSIVE…..PROJECTILE

DIFFERENTIAL DIAGNOSIS PYLORIC STENOSIS FEEDING INTOLERANCE G.E. REFLUX INFECTIONS UTI CNS GI

HYDRATION FONTANELLE EYES MUCOUS MEMBRANES SKIN TURGOR URINARY OUTPUT

ABDOMINAL EXAMINATION GASTRIC DISTENTION GASTRIC PERISTALTIC WAVES PYLORIC OLIVE

PRIORITIES REHYDRATION CORRECTION OF ELECTROLYTE AND METABOLIC ABNORMALITIES CONFIRM DIAGNOSIS

METABOLIC ALKALOSIS HYPOCHLOREMIA HYPOKALEMIA RENAL LOSS

ULTRASOUND

PYLOROMYOTOMY REHYDRATED NORMAL ELECTROLYTES ALKALOSIS CORRECTED

INTUSSUSCEPTION 3-4 MONTHS - 2 YRS HEALTHY WELL NOURISHED INTERMITTENT EPISODES OF IRRRITABILITY AND PAIN, BENDING KNEES VOMITING, CURRANT JELLY STOOLS

CONTRAST ENEMA

KEY ISSUES DO NOT WAIT FOR BILIOUS VOMITING DO NOT WAIT FOR BLOOD IN STOOL YOUNGER….LETHARGY THINK ABOUT DIAGNOSIS

MALROTATION NEWBORN… ANY AGE BILIOUS OR “YELLOWISH” VOMITING MAY OR MAY NOT HAVE ABDOMINAL DISTENTION

UGI

MALROTATION …VOLVULUS STRANGULATION OBSTRUCTION AGAINST TIME

ABDOMINAL PAIN FOREGUT MIDGUT HINDGUT F M H

APPENDICITIS

MECKEL’S DIVERTICULUM BLEEDING INFLAMMATION OBSTRUCTION BANDS INTUSSUSCEPTION

MECKEL’S DIVERTICULUM

SMALL BOWEL OBSTRUCTION HISTORY AND PHYSICAL ABDOMNAL X- RAYS TO CONFIRM DIAGNOSIS

BILIOUS VOMITING: MECHANICAL OBSTRUCTION UNTIL PROVEN OTHERWISE

SBO: KEY ISSUES PRIOR SURGERY?......ADHESIVE OBSTRUCTION INCARCERATED HERNIA? INTUSSUSCEPTION? APPENDICITIS? CONGENITAL MALROTATION…VOLVULUS BANDS

ESOPHAGEAL ATRESIA WITH TRACHEOESOPHAGEAL FISTULA WITHOUT FISTULA

ESOPHAGEAL ATRESIA POLYHYDRAMNNIOS MUCOSY BABY UNABLE TO INSERT NG TUBE ABDOMINAL EXAM/X RAY

VACTERL ASSOCIATION VERTEBRAL ANORECTAL CARDIAC TRACHEOESOPHAGEAL RENAL LIMBS

DIAPHRAGMATIC HERNIA POSTEROLATERAL DEFECT (BOCHDALEK) ANTERIOR DEFECT (MORGAGNI)

DIAPHRAGMATIC HERNIA PULMONARY HYPOPLASIA PERSISTENT FETAL PULMONARY CIRCULATION HIGH MORTALITY

INGUINO-SCROTAL PATHOLOGIES

HYDROCELE

HERNIAS

INGUINAL HERNIA (4) INCARCERATION  STRANGULATION TESTIS BOWEL OVARY

INCARCERATION

NON REDUCIBLE MASS INTESTINAL NECROSIS WRONG TECHNIQUE WRONG DIAGNOSIS HYDROCELE TESTICULAR TORSION EPIDIDYMITIS/ORCHITIS LYMPH NODE ABSCESS

TESTICULAR TORSION

VARICOCELE

KISS PRINCIPLE HYDROCELETESTICULAR TORSION. OTHER SCROTAL PATHOLOGY GROIN EMPTY REDUCIBLE HERNIA INCARCERATED HERNIA GROIN FULL NO PAINPAIN