Gastroenterology an der All India Institute Of Medical Sciences | Karteikarten & Zusammenfassungen

Lernmaterialien für Gastroenterology an der All India Institute of Medical Sciences

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Red flag signs in cyclical vomiting syndrome 
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Bilious vomiting, abdominal tenderness, and/or severe abdominal pain 
Attacks precipitated by an intercurrent illness, fasting, and/or high protein meal
Neurological abnormalities 
Atypical pattern or progression/deterioration 
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Majority of foreign body ingestion occur in children who are aged 
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Less than 5 years 
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Most commonly ingested foreign body 
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Coin 
Followed by small toy 
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Food impaction is less common in children but when present what disease should be ruled out 
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Eosinophilic esophagitis 
Diagnosed in 92 percent of those presenting with food impaction and dysphagia.
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Disk shaped button batteries can be differentiated from ingested coin by
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Double halo on anteroposterior view 
Step off on lateral view 
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Radiolucent foreign bodies 
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Plastic
Wood
Glass
Aluminum
Bones 
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Barium contrast studies should be discouraged for evaluating esophageal foreign body because 
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Potential for aspiration 
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Sharp objects in the esophagus, multiple magnets or single magnet with a metallic object or foreign bodies associated with respiratory symptoms mandate urgent removal within 
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12 hours of presentation 
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Esophageal Button batteries should be removed within 
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2 hours of presentation 
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Asymptomatic blunt objects, meat impaction and coins lodged in the esophagus can be observed for upto 
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24 hours in anticipation of passage into the stomach 
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Gastric Button batteries can be observed in patients 
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Age > 5 years 
Button batteries < 20 mm
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Diagnostic criteria cyclical vomiting syndrome (5)
Red flag signs (4)
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TESTE DEIN WISSEN
Episodic (more than equal to 2) attacks of intense nausea and paroxysmal vomiting lasting for hours to days within a 6 month period 
Stereotypical pattern and symptoms in the individual patient 
Episodes are separated by weeks to months
Return to baseline between episodes 
Not attributable to another disorder 
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Q:
Red flag signs in cyclical vomiting syndrome 
A:
Bilious vomiting, abdominal tenderness, and/or severe abdominal pain 
Attacks precipitated by an intercurrent illness, fasting, and/or high protein meal
Neurological abnormalities 
Atypical pattern or progression/deterioration 
Q:
Majority of foreign body ingestion occur in children who are aged 
A:
Less than 5 years 
Q:
Most commonly ingested foreign body 
A:
Coin 
Followed by small toy 
Q:
Food impaction is less common in children but when present what disease should be ruled out 
A:
Eosinophilic esophagitis 
Diagnosed in 92 percent of those presenting with food impaction and dysphagia.
Q:
Disk shaped button batteries can be differentiated from ingested coin by
A:
Double halo on anteroposterior view 
Step off on lateral view 
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Q:
Radiolucent foreign bodies 
A:
Plastic
Wood
Glass
Aluminum
Bones 
Q:
Barium contrast studies should be discouraged for evaluating esophageal foreign body because 
A:
Potential for aspiration 
Q:
Sharp objects in the esophagus, multiple magnets or single magnet with a metallic object or foreign bodies associated with respiratory symptoms mandate urgent removal within 
A:
12 hours of presentation 
Q:
Esophageal Button batteries should be removed within 
A:
2 hours of presentation 
Q:
Asymptomatic blunt objects, meat impaction and coins lodged in the esophagus can be observed for upto 
A:
24 hours in anticipation of passage into the stomach 
Q:
Gastric Button batteries can be observed in patients 
A:
Age > 5 years 
Button batteries < 20 mm
Q:
Diagnostic criteria cyclical vomiting syndrome (5)
Red flag signs (4)
A:
Episodic (more than equal to 2) attacks of intense nausea and paroxysmal vomiting lasting for hours to days within a 6 month period 
Stereotypical pattern and symptoms in the individual patient 
Episodes are separated by weeks to months
Return to baseline between episodes 
Not attributable to another disorder 
Gastroenterology

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