CURRENT DIAGNOSIS AND TREATMENT
PEDIATRICS 24TH EDITION HAY LEVIN
REVIEW QUESTION SET WITH ACCURATE
ANSWERS
◉ Diagnostic procedure for hypertrophic pyloric stenosis
Answer: Ultrasound: Elongated sausage-shaped mass and
elongated pyloric area.
◉ Therapeutic procedure for hypertrophic pyloric stenosis
Answer: Pylorotomy (laparoscopic).
◉ Preoperative nursing care for pylorotomy
Answer: IV fluids to correct dehydration and electrolyte
imbalance. NG decompression. NPO. I&O and daily weight.
◉ Postoperative nursing care for pylorotomy
Answer: Routine postop vital signs. Antiemetic for vomiting. IV
fluids. Daily weight and I&O. Analgesics for pain. Assess for signs
of infection. Clear liquids 4-6 hours after surgery. Advance to
breast milk or formula as tolerated. Document tolerance to
feeding.
◉ Hirschsprung disease
, Answer: Structural anomaly of GI tract caused by lack of
ganglionic cells in segments of the colon resulting in decreased
motility and mechanical obstruction.**** Congenital aganglionic
megacolon.
◉ Risk factor for Hirschsprung disease
Answer: Family history of Hirschsprung disease.
◉ Manifestations of Hirschsprung disease in newborn
Answer: Failure to pass meconium within 24-48 hours of birth.
Vomiting bile. Refusal to eat. Abdominal distention.****
◉ Manifestations of Hirschsprung disease in infant
Answer: Failure to thrive. Abdominal distention. Vomiting.
Episodes of constipation and watery diarrhea.
◉ Manifestations of Hirschsprung disease in children
Answer: Failure to thrive. Abdominal distention. Severe
constipation. Foul-smelling ribbon-like stool from stool oozing
around obstruction.**** Visible peristalsis. Palpable fecal mass.
◉ Lab tests for Hirschsprung disease
Answer: CBC and electrolytes.
◉ Diagnostic procedure for Hirschsprung disease
PEDIATRICS 24TH EDITION HAY LEVIN
REVIEW QUESTION SET WITH ACCURATE
ANSWERS
◉ Diagnostic procedure for hypertrophic pyloric stenosis
Answer: Ultrasound: Elongated sausage-shaped mass and
elongated pyloric area.
◉ Therapeutic procedure for hypertrophic pyloric stenosis
Answer: Pylorotomy (laparoscopic).
◉ Preoperative nursing care for pylorotomy
Answer: IV fluids to correct dehydration and electrolyte
imbalance. NG decompression. NPO. I&O and daily weight.
◉ Postoperative nursing care for pylorotomy
Answer: Routine postop vital signs. Antiemetic for vomiting. IV
fluids. Daily weight and I&O. Analgesics for pain. Assess for signs
of infection. Clear liquids 4-6 hours after surgery. Advance to
breast milk or formula as tolerated. Document tolerance to
feeding.
◉ Hirschsprung disease
, Answer: Structural anomaly of GI tract caused by lack of
ganglionic cells in segments of the colon resulting in decreased
motility and mechanical obstruction.**** Congenital aganglionic
megacolon.
◉ Risk factor for Hirschsprung disease
Answer: Family history of Hirschsprung disease.
◉ Manifestations of Hirschsprung disease in newborn
Answer: Failure to pass meconium within 24-48 hours of birth.
Vomiting bile. Refusal to eat. Abdominal distention.****
◉ Manifestations of Hirschsprung disease in infant
Answer: Failure to thrive. Abdominal distention. Vomiting.
Episodes of constipation and watery diarrhea.
◉ Manifestations of Hirschsprung disease in children
Answer: Failure to thrive. Abdominal distention. Severe
constipation. Foul-smelling ribbon-like stool from stool oozing
around obstruction.**** Visible peristalsis. Palpable fecal mass.
◉ Lab tests for Hirschsprung disease
Answer: CBC and electrolytes.
◉ Diagnostic procedure for Hirschsprung disease
