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Exam (elaborations)

GIT Summary

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Exam of 163 pages for the course medicine at No School (GIT Summary)

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  • December 1, 2022
  • 163
  • 2021/2022
  • Exam (elaborations)
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Summary
of
GIT
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anery
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Aooessory panqsedc duct




By: II.B
20 12

https://t.me/MinorScientificGroupC



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Index
GIT:




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WhiteKnightLove

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Congenitol Atresio of the oesophogus
ETIOLOGY :
Embryologically both oesophagus & trachea develop as one tube, then a
transverse septum will appear which witl divide them into two tubes.
@ Congenital atresia of the oesophagus is usually associated with
tracheo-oesophageal fistula.
TYPES :
* Type I (85%) : Atresia with a fistula into the lower pouch.
* Type ll Q%): Atresia with a fistula into the upper pouch.
* Type lIl (l%): Atresia with a fistula into each pouch.
* Type lY (12%): Atresia without fistula.
* Type V ( Rare ) : Fistula without atresia.
* Type VI ( Rare : Stenosis.
)




e/O : The condition starts at birth & it is a surgical emergency.
A Regurgitation of the first & every fluid taken.
A Continuous pouring of saliva ( Pathognomonic ).
A Attacks of cough, shocking & cyanosis after feeding in types ll & lll.
A Sputum may be bile stained ( I & lll ).
A Inhalation pneumonia.
A Abdominal distension.
INVESTIGATIONS :
1- Passage of a nasogastric tube ( No.10 ) which will be arrested at 10 cm
_ from the nostril ( diagnostic ).
2- Gastrograffin swallow will show :
a. The fistula & dye in the trachea.
b. Fundic air bubble is present in types I & IfI.
3- Fibreoptic pediatric oesophagoscopy.
EOMPLICATIONS & CAUSE OF DEATH :
1. Pneumonia ( inevitable ) : Aspiration pneumonia or acid pneumonia.
2. Associated anomalies ( VACTERL syndrome ).




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