QUESTIONS AND ANSWERS
Pyloric Stenosis - ANSWER-Progressive narrowing of the pyloric canal occurring during infancy
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Risk factors: first degree relative affected, strong familial aggregation, multiple gestation, c-section,
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preterm infant, firstborn child, formula feeding.
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Signs and Symptoms: projectile postprandial non-bilious vomiting that is progressive in severity and
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frequency beginning after 2-3 weeks of age. OLIVE SHAPED MASS PALPABLE IN RUQ. Peristaltic waves
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visible across abdomen after feeding. Insatiable hunger with weightloss and dehydration.
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Pinworm - ANSWER-caused by Enterobius vermicularis.
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Signs/Symptoms: asymptomatic, severe perianal/intravaginal itching typically at night, vulvovaginitis in
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girls, enuresis.
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Treatment: Pyrantel pamoate 1mg/kg max 1 g two doses given 2 weeks apart for whole family. OR
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albendazole 400mg PO 1 dose and another in 2 weeks for whole family.
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H. pylori treatment - ANSWER-14 days of Quadruple therapy:
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PPI, amoxicillin BID, metronidazole BID, and clarithromycin BID (PAMC) OR
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PPI, bismuth, metronidazole, and tetracycline for 14 days (PTMB)
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Celiac Disease Vitamins - ANSWER-b12, folate, B6, D, iron, folic acid, zinc
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HBsAg negative m
Anti-HBc negative m
Anti-HBs negative - ANSWER-susceptible no infection
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