Dead Ends and Detours
You Shall Not Pass
Small Bowel
Colon
Potpourri
100
This is the most common type of Esophageal Atresia and Tracheoesophageal fistula
What is the prefix meaning: What is type C (85%) or esophageal atresia with distal tracheoesophageal fistula
100
These demographic factors appear directly related to occurrence of Pyloric Stenosis 
What is 1) First Born infant and 2) Male infant
100
This condition is a remnant of the vestigial vitelline duct
What is Meckels Diverticulum
100
This term describes the pathophysiology of Hirschsprung and means lack of neuronal tissue in the rectum or colon
What is agangliosis
100
In degrees, this is how much the gut rotates in utero?
What is 270 degrees
200
This is a characteristic radiographic finding in a patient with pure atresia and absence of distal TEF versus presence of TEF
What is gasless abdomen on x-ray in absence of TEF and abdominal distension on x-ray when TEF is present
200
Pyloric stenosis may be diagnosed by these two Radiographic studies
What is a 1) Abdominal Ultrasound and 2) upper GI series string sign
200
What embryologic condition predisposes an infant to midgut volvulus
What is malrotation
200
This is often the first clue to the existence of aganglionic megacolon
What is failure to pass meconium stool in the first 24 hours of life
200
This imaging study may be useful for evaluation of bleeding Meckel's Diverticula?
What is Meckel's scan (or TC-99 pertechnetate scinitigraphy)
300
These are three methods of diagnosis of esophageal atresia /Tracheoesophageal fistula
What is 

1) Inability to pass suction catheter beyond upper esophagus

2) Presence of gas in bowel to indicate fistula between esophagus and trachea

3)Instillation of thin barium with fluoroscopy

4)  Bronchoscopy


300
Get out of the way when an infant presents with this  most common presentation of Pyloric Stenosis
What is non-bilious, projectile, vomiting
300
This is a sign of Intussusception, but don't try spreading it on toast
What is "current jelly stools"
300
These are three common ways of diagnosing NEC
What is 

1)  clinical signs -vomiting, residual volume, decreased bowel sounds

2) Radiographic presence of pneumatosis intestinalis

3) pneumoperitoneum

300
This describes the appearance of the colon on a barium enema in a patient with meconium ileus
What is micro-colon
400
This is a well known associated syndrome with EA/TEF
what is VACTREL

Vertebral

Anorectal

Cardiac

Tracheal

Esophageal

Renal or Genitourinary

Limb or Lumbar

400
you'll score a bullseye if you know this ultrasound sign of pyloric stenosis
What is a target sign on ultrasound evaluation
400
These two conditions may be associated with failure to pass meconium in 24 hours or meconium ileus
What is cystic fibrosis and Hirschsprung disease
400

This is the most common radiographic finding in infants with NEC occurring in >80%

What is pneumatosis intestinalis

400

Don't confuse this condition with midgut volvulus. The patients usually present earlier and are not as sick

What is duodenal atreasia

500
The most complete diagnosis for a 36 weeks newborn who is evaluated at 24 hours and is found to have drooling and respiratory distress.  A nasogastric tube is placed after oxygen is started and a ches x-ray is obtained and shown.

A) Meconium aspiration

B)TEF

C) Foreign Body

D) VACTERL syndrome

What is VACTERL Syndrome
500
These blood chemistry metabolic findings are commonly present with pyloric stenosis
What is hypochloremic, hypokalemic, metabolic alkalosis
500
These are said to be the rule of 2's associated with meckel's diverticulum
What is 1) 2% of population 2) within 2 feet of ileocecal valve 3) 2 x more common in males 4) common in first 2 years of life 5) 2 inches in length and 6) 2 types of ectopic tissue are present (gastric/pancreatic)
500
A 3 yo male with Down's syndrome presents for stooling problems.  On exam his abdomen is markedly distended with a palpable stool mass.  You perform a rectal exam.  These rectal exam findings would be expected to differentiate Hirschsprungs form chronic severe constipation
What is an empty rectum and a narrow anal canal with evidence of fecal impaction on x-ray
500
These are two ways that we may not only diagnose, but also treat intussusception in the radiology department
What is barium enema and air enema (or water enema under US)