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Peds Pathology Review

Peds Pathology Review. Peds lecture pt 2 –B (4/2014). PATH REVIEW pt 2. CROUP / ST neck Baby gram for FB Hirschsprung’s ( Megacolon ) INTUSSUSCEPTION & Volvulus Pyloric Stenosis REFLUX Slipped Epiphysis. c/o stomach ache x 1 week ?problem. Tension pneumothorax.

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Peds Pathology Review

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  1. Peds Pathology Review • Peds lecture pt 2 –B (4/2014)

  2. PATH REVIEW pt 2 • CROUP / ST neck • Baby gram for FB • Hirschsprung’s (Megacolon) • INTUSSUSCEPTION & Volvulus • Pyloric Stenosis • REFLUX • Slipped Epiphysis

  3. c/o stomach ache x 1 week ?problem Tension pneumothorax

  4. ST NECK • R/o • CROUP • ABCESS • AP & LAT done • & poss CXR • ? Symptoms ?

  5. “BABYGRAM” FOR FB From Mouth to Anus - AP & possible Lateral

  6. BLOCKER PLACEMENT GRID OR NO GRID? Problem Seen?

  7. INTUSSUSCEPTION A barium enema demonstrated an intussusception at the hepatic flexure which was successfully reduced

  8. Intussuception Volvulus

  9. Hirschsprung’s diseasemegacolon • Most of the time, when a doctor is concerned about the possibility of Hirschsprung's disease, he or she will have a barium enema performed. 

  10. Hirschsprung's disease is a rare disorder occurring in about 1 out of every 5,000 to 10,000 newborn babies constipation occurs in as many as 1 out of every 5 to 10 children). This disease is much more common in boys than girls.

  11. Hirschsprung’s diseasemegacolon • Hirschsprung's disease is a blockage of the large intestine due to improper muscle movement in the bowel. • It is a congenital condition, which means it is present from birth

  12. Hirschsprung’s diseasemegacolon • The intestine is constantly squeezed tight, preventing stool from passing. • Almost all children with Hirschsprung's disease have problems with constipation from the day they are born; • as many as half of babies with Hirschsprung's disease will not pass their first bowel movement during the first 36 hours of life • If a child has Hirschsprung's disease, some form of surgery is usually required to eliminate the problems with constipation.

  13. Hirschsprung’s diseasemegacolon

  14. Megacolon can also occur in adults

  15. More common in males Projectile vomiting Failure to thrive Pyloric stenosis

  16. CONDITION? REFLUX

  17. Slipped Epiphysis • The head of femur dislocates into the epiphysis

  18. Slipped Epiphysis • One foot might point outward more than the other, or one leg may be slightly longer than the other.

  19. Slipped Epiphysis 11 yo with a limp Bilateral with worse on the right side

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