Disorders
Pain at McBurney's point
What is appendicitis
Mild, moderate and severe % of body weight lost
mild - <5%, moderate - 6-9%, severe - 10% or more
Treatment includes h2 blocker, PPI, pro-kinetic agents, upright 30 minutes after feeds, small frequent feeds, thickened formula
What is gastroesophageal reflux
Projectile vomiting
What is Pyloric stenosis
Assessment findings
thirst, urine output, urine specific gravity, skin turgor, fontanelles, HR, BP, cap refill, skin color, temp
Defects occur at 5-12 weeks gestation
What is Cleft Lip/Cleft palate
diarrhea, hx of bowel loss/resection, poor hydration
What is short bowel syndrome
Fluid replacement for mild, moderate, and severe
mild - oral, moderate - oral/IV, severe - IV
stool holding or soiling at inappropriate times
Encopresis
sensitivity to milk, milk products, cheese, or yogurt
What is lactose intolerance
Symptoms include persistent failure to eat, no weight gain/or weight loss, small size, irritable, possible developmental delays
What is Failure to Thrive
Bulk froth-like stools
What is Celiac disease
Maintenance IV fluid formula
0-10kg = 4ml/kg/hr
11-20kg = add on 2 ml/hr
>20kg = add on 1 ml/hr
Common diagnostic tests include CT, elevated WBC, elevated CRP
What is appendicitis
What is difference between acute sudden diarrhea and chronic diarrhea
What is acute is caused by inflammation, infection, or medication reaction. Chronic lasts more than 2 weeks r/t malabsorption problem, or long term inflammatory disease