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Gastrointestinal Disorders (Peds)

Hirschprung’s Disease

– in children with this disease, there is an absence of ganglion cells in the colon of the child, causing a decrease in peristalsis and an accumulation of contents from the intestine.

Assessment in newborns:

  • failure to pass meconium within the first 24-48 hours.
  • refusal to feed, ribbon like stools.
  • ♣ Management includes the use of enema.

Gastrointeritis

  • Vomiting or diarrhea
  • Give intravenous fluids if necessary

Cleft Lip and Cleft Palate

Repair of Cleft Lip: performed between 1 and 3 months of age

Repair of Cleft Palate: performed between 12 and 18 months.



Tracheoesophageal fistula

  • An abnormal opening between the trachea and esophagus.

Esophageal atresia

  • The failure of the esophagus to develop a continous passage.

Intussusception

– a total obstruction of the bowel, most common site is the illoceal valce

Assessment: Child draws knees to abdomen, abdominal distention and passage of the “currant jelly” stools.

Enterobiasis (Pinworms)

Symptoms in children would include:

  • perianal itching
  • poor sleep and restlessness

Interventions:

  • To check, place transparent tape against child’s perianal area and assess.
  • The clothing and bed linens should be washed with hot water and house vacuumed.

Treatment of choice is: Mebendazole (Vermox)

Celiac Disease

  • Intolerance to gluten
  • Gluten is found in wheat, oats, barley and rye
  • Treatments is to avoid gluten and instead use grains with corn & rice.

Phenylketonuria

– The child is unable to metabolize phenylalanine into tyrosine.

  • Diagnostic test is the Guthrie Test.

Ingestion of Hazadous Substance

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