Wednesday, September 07, 2016
dr.Bassam
Seminar 4
1
S1:raptured meningocele
Assessment:
1.periphral neuropathy of lower limb
2.size of OFC (hydrocephalus)
*association is >90 percent
*misDx as twin so obstetrician will cause
rapture
Q: What is the difference if hydrocephalus
present or not?
A) on management u do shunt then surgery if hydrocephalus present.
Q) what is the difference between meningocele & Sacrococcygeal teratoma?
A ) meningocele anus in normal position
, Sacrococcygeal anus is deviated anteriorly.
_ meningocele contain CSF
S2:haemangioma
Swelling above the ear ( red to pinkish in color)
S3:hypospedius
Name of procedure :TIP
S3:Stag horn stone
How to know it is not IVU ::by bladder phase if not present so it is KUB
…………………………………
S4:meconium plug syndrome
-needed to be followed up bz of high association
with Hirshprung disease
meconium plug syndrome
How to differentiate from meconium ileus ?
Hx. Mother is precalmpsia & taking Mg drug.
Ex. No doughy abd.
Inv. No air fluid level
_should follow up may associated with
hirschprung disease.
2 ) F.B
Types inhalation ( mostly in R. side)
or ingestionl
*Presentation
Acute respiratory distress
Chocking at feeding
Cynosis
Strider or Rhonchi sound
*Rx. Broncoscopic removal
4) hypospadias
Mx. TIP
Wednesday, September 07, 2016
dr.Bassam
Seminar 4
2
S five: complicated malrotation of bowel (volvulus)
*4_ 5 days age child,bilious vomiting ,mild abdominal destention , shocked child ,acute what
is Dx if CXR show Double bubble sign?
Dx:above *appendecectomy should be done in malrotated bowel bz misleading right upper
abd. Pain if he had app.ectomy
S7:pyloric atresia
pyloric atresia
neonate 12 h
Non Bilious vomiting
Single bubble sign
.................................................
diaphragmatic eventration
)
9
:
S8
_Recurrent chest infection
Old age
_Dx. Fluroscopy (show organ movement while taking x_ray )
Finding. Paradoxical movement of chest on respiration ..
_Mx.Plication
……………………………………………………………………………………………………………….
Wednesday, September 07, 2016
dr.Bassam
Seminar 4
3
S10:healing ulcer
Granulation tissue
S11:ulcer on foot in infant suggest
neuropathy d/t muomengiocele
S12:lateral collar incision
1.branchial cyst 2.TEF
Retroauricular Hairline Approach for Excision of Second
*
Branchial cyst
S13:bladder stone
14) Broncoscopy
15) esophagoscopy
17) esophagoscopy showing fistula
Other Invx. Barium meal.
18) dilated segmoid
Dx. Hirschprung disease
19 ) rigid Broncoscpe
Broncoscopy oxygen used
Esophagoscopy oxygen not used
Wednesday, September 07, 2016
dr.Bassam
Seminar 4
4
Chest ectopia cordis
*pulsatile mass outside
Pentology of cantory
1.sternal defect
2.diaphragmaric defect
3.ectopia vescica
4.ectopia cordis
Abdominal ectopia cordis
*during crying the pulsation felt at
abdomen
S fifteen
Smegma
>this associated with penile torsion
And penile torsion should be
repaired after Circumcision
S16:loin icision
Indx:wilims –PUJ Obstruction *for stone removal -congenital PCK
Wednesday, September 07, 2016
dr.Bassam
Seminar 4
5
S17:2 y.o boy ---dx :large bowel obstruction
18:ectopic anus(anterior)
-lower type of imporforated anus
S19: pneumoperitonium in child suscepected to be malabsorptive
disease having.
*duodenal biopsy causing perforation
_ Air under diaphragm
S20:omental cyst
u/s suggest ascites
Compressing all bowel backward
*pedical may be undergone torsion
*fluid in this cyst is lymphatic
CT demonstrating large homogenous
hypodense area
Wednesday, September 07, 2016
dr.Bassam
Seminar 4
6
S21:IVU
Benefits of IVU
function of stone
*
1) SHOW radiolucent stone
2) show functioning kidney or
not
3) show hydronephrosis
4) show site of stone
5 ) show any congenital anomaly
6) show stone which nor appear
on KUP
* esophageal atresia without fistula
Gasless abd.
30) duodenal atresia
Small colon
2 days age
_Mx. duodenoduodenostomy
_ most common inscion in pediatric is supra umbilical.)
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