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Lec-Intestinal obstruction in children- lec 4th yr-12-8-10

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Lec-Intestinal obstruction in children- lec 4th yr-12-8-10 Powered By Docstoc
					Intestinal obstruction
     in children
         Lt. Col. C. Aqeel Safdar TI(M) psc
  DCPS-HPE (Med Education), FRCSEd, MSc (Warfare)
              Dept of Paediatric Surgery
                  MH, Rawalpindi
                 The 5 Hs
   Hypothermia
   Hypoxia
   Hypovolemia
   Hypoglycemia
   Hypoprothrobinemia
        What is surgical neonate?
   Vomiting ? Colour
   Abdominal distention ? Visible peristalsis
   No stools
   DRE
   XRays
   Drip & Suck
   Correct the 5 Hs
   Definitive treatment
                NEONATES
   PYLORIC ATRESIA
   ANTRAL WEB
   DUODENAL OBSTRUCTION
    (ATRESIA/STENOSIS/WEB/ PRE-DUODENAL
    PORTAL VEIN/ ANNULAR PANCREAS)
   MALROTATION
   JEJUNO-ILEAL ATRESIAS
   HD
   ARM
ANNULAR PANCREAS
             FIRST 03 MONTHS
   INFANTILE HYPERTROPHIC PYLORIC
    STENOSIS

   HERNIA

   MIDGUT VOLVULUS
06-24 MONTHS
           06-24 MONTHS


   INTUSSUSCEPTION
              CHILDHOOD


   COMPLICATIONS OF APPENDICITIS
APPENDICITIS-COMPLICATIONS
             RARE CAUSES
   ABDOMINAL LYMPHANGIOMA

   DUPLICATION CYSTS OF INTESTINES

   HUGE MESENTERIC CYST

   CONGENITAL BANDS OTHER THAN LADD
     RADIOGRAPHS-What to see?


   FIXED ANATOMY
   GAS DISTRIBUTION
   BOWEL DILATATION
   AIR-FLUID LEVELS
   ARRANGEMENT OF BOWEL LOOPS
    AIR PROGRESSION IN NEONATES
   STOMACH

   ENTIRE SMALL BOWEL

   SIGMOID COLON

				
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