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ABSITE PEDIATRIC SURGERY EXAM WITH COMPLETE SOLUTIONS A+ GRADED
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ABSITE PEDIATRIC SURGERY EXAM WITH COMPLETE SOLUTIONS A+ GRADED...
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ABSITE PEDIATRIC SURGERY EXAM WITH COMPLETESOLUTIONS A+ GRADED
foregut - ANSWER embryonic ______:
lungs, eosphagus, stomach, pancreas, liver, gallbladder, bile duct, dupdenum prox to
ampulla
midgut - ANSWER embryonic _______:
duodenum distal to ampulla, small bowel, large bowel to distal 1/3 of transverse colon
rots 270 degrees CCW normally
hindgut - ANSWER embryonic _______:
distal 1/3 of transverse colon to anal canal
IgG - ANSWER what Ig crosses the placenta
20; 10 - ANSWER trauma resuscitation in neonates/children
_____cc/kg x2 bolus fluid; then blood ____ cc/kg
trachycardia - ANSWER #1 cause childhood death is trauma
,______ best indicator of shock (neonate > 150, less than 1 year > 120, 1 year > 120, rest >
100_
want UOP 2-4 cc/kg/hr
2;1 - ANSWER umbilical vessels - ___ arteries; ___ vein
25 - ANSWER children < 6mo have _____%GFR capacity of adults - poor concentrating
ability
systemic; pulmonary - ANSWER pulmonary sequestration:
lung tissue has anomalous sytemic arterial supply thoracic aorta MC or abd aorta via
inferior pulm ligament
extra-lobar: more likely to have ______ venous drainage azzygous
intra-lobar: more likely to have ______ vein drainage
do NOT communicate with tracheobronchial tree
pt: infection, respiratory compromise
tx - ligate arterial supply first, then lobectomy
lobectomy - ANSWER congenital lobar overinflation emphysema
cartilage fails to develop in bronchus, air trapping with expiration
can get hemodynamic instability
, LUL most common
tx: ?
neurogenic - ANSWER ________ tumors MC mediastinal tumor in children
located posteriorly
teratoma - ANSWER MC anterior tumor in children
middle - ANSWER _______ mediastinal mass in children:
T cell lymphoma, teratoma, cyst (cardiogenic or bronchiogenic)
choledochal cyst - ANSWER Cystic growth on the common duct that may cause
obstruction
caused bt reflux of pancreatic enzymes into the biliary system in utero
1 - ANSWER type ____ choledochal cyst:
fusiform dilation of entire CBD, mildly dilated common hepatic duct, normal intrahepatic
ducts
tx - resection, hepaticojejunostomy
2 - ANSWER type ____ choledochal cyst:
true diverticulum that hands off the CBD
tx - resection off CBD, may be able to preserve CBD and avoid hepaticojejunostomy
3 - ANSWER type ____ choledochal cyst:
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