CRACKCast E172 – Gastrointestinal Disorders

Core questions:

• List 8 causes of neonatal jaundice and indicate whether they are conjugated or unconjugated

• List indications for work-up of a jaundiced infant

• What are RFs for hyperbilirubinemia? (8)

• What is the differential diagnosis for vomiting in a child?

• Describe the typical presentation of each of the following:

• Hypertrophic pyloric stenosis

• Malrotation with midgut volvulus

• NEC

• GERD

• Intussusception

• Hirschsprung's Disease

• Meckel's Diverticulum

• HSP

• List Xray findings for each of the following:

• Malrotation with midgut volvulus (2)

• NEC (4)

• Intussusception (5)

• Hirschsprung's Disease (2)

• Describe the conservative management of a patient with GERD.

• What is the preferred diagnostic test for diagnosis for intussusception?

• List causes of lead points in pts with intussusception.

• Describe each of the following signs on physical exam:

• Sandifer's syndrome

• Red-currant Jelly Stools

• Dance's Sign

• Rovsing's sign

• Psoas Sign

• Obturator Sign

• Describe the "Rule of 2" for Meckel's Diverticulum

• What are 3 common locations of lodging in the esophagus

• List 3 indications for FB removal from stomach. Describe the management of button battery FBs

• What is HSP? How does it typically present?

• List three complications of HSP.

• Why is appendicitis different in very young children?

• List 10 causes of pancreatitis in children

• List 10 causes of biliary tract disease in children

• List conditions associated with the development of gallstones in children.

Wisecracks.

• What are the risk factors for necrotizing enterocolitis?

• Describe the proposed pathophysiology of necrotizing enterocolitis?

• List five pathologic causes of constipation in a child.

• What is the most concerning complication of hirschsprung's disease? How does it occur?

• What is gallbladder hydrops? What conditions is it associated with?