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Published byBerniece Ethel Fleming Modified over 9 years ago
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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 VOMITING PROGRESSIVE…..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 REHYDRATED NORMAL ELECTROLYTES ALKALOSIS 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 GROIN FULL NO PAINPAIN
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