treatment in pediatric surgery

-

      •Esophageal atresia : surgical repair .

      •Pyloric stenosis : first correct alkalosis by normal saline then pylorotomy .

•Duodenal atresia : duodeno- duodenostomy .

•Meckels diverticulum : symptomatic : segmental resection    asymptomatic :  if patient age >50 leave it but age <50 then do diverticulectomy .•Intussusception : emergent reduction by double contrast enema  , but if perforation the do surgery .•Hirschsprung disease : surgery .•Congenital diaphragmatic hernia : stabilize the patient the do surgery repair .•NEC : stop enteral feeding . IV fluid , NG tube , ATB , then ness surgery •Abdominal wall defect : surgical closure , if tension then need silastic patch and later closure .•Cryptorchidism : orchidopexy at 1y but if discovered later then need orchidectomy .•Testicular torsion : orchidopexy of both sides .•Biliary atresia : if age <90days need KASAI operation + hepatoportoenterostomy , but if age > 90days liver transplant..


Comments

Post a Comment

Popular posts from this blog

Anemia

-
Image
definition   :  a condition in which there is a deficiency of red cells or of haemoglobin in the blood, resulting in pallor and weariness symptome : Easy fatigue and loss of energy. Unusually rapid heart beat, particularly with exercise. Shortness of breath and headache, particularly with exercise. Difficulty concentrating. Dizziness. Pale skin. Leg cramps. inominua                                                                                                                              causes : iron deficiency b12 deficiency and folate deficiency decrese blood cell production  blood loss red blood cell destruction ( extra and intra hemolys...
Read more

humoral immunity

-
Image
definition :  ( CD20 ) antibody mediated which is the function of B-cells , it is converted into plasma cells taht produce antibody IgA IgM IgG IgD IgE . IgA : surface antibody attack bacteria on the body surface like GI lumen respiratory lumen IgM : the largest and first one produced in responce to bacteria means acute infection . IgG : the smallest , only that cross the placenta , remains in serum as memory for old infection . IgE : responsible fpr allergy stimulate mast cells to release histamine . IgD : least important deficiency in humoral immunity increase risk of infection mainly bacteria ( encapsulated ) 
Read more

antibiotics

-
Image
mecanisme of action: 1) inhibit bacterial cell wall (  B-lactamantibiotics , vancomycin ) 2) inhibit bacterial cell membrane ( daptomycin ) 3) inhibit bacterial protein synthesis (  aminoglycoside , tetracycline , macrolids ) 4) inhibit bacterial DNA synthesis ( flouroquinolones  )              ciprofloxacin , levofloxacin , norfloxacin  5) antifolate ( trimethoprime , cotrimaxazole )              cotrimaxazole = trimethoprime+sulfamethaxazole 
Read more