Oliv, Jele Korint, Riban: Endis GI yo

🧠 Poukisa sa enpòtan

PYLORIC STENOSIS: vomisman PWOJEKTIL ki pa bilye apre manje kay yon tibebe 2 a 8 semèn ki grangou ankò imedyatman, ak yon mas AN FÒM OLIV nan vant siperyè dwat, dezidratasyon ak alkoloz metabolik akoz asid lestomak ki pèdi; trete ak operasyon apre koreksyon likid ak elektwolit. INTUSSUSCEPTION: yon entesten ki teleskòpe kay yon timoun 3 mwa a 3 an ak doulè nan vant grav ki sibit epi ki vini an epizòd, ki RALE JENOU YO MONTE, yon mas an fòm sosis ak poupou JELE KORINT (san ak mikis); trete ak yon lavman lè oswa kontras, ak operasyon si sa echwe; yon poupou mawon nòmal apre sijere rediksyon an te mache. HIRSCHSPRUNG DISEASE: selil nè ki manke nan kolon an, kidonk pa gen meconium nan premye 24 a 48 èdtan yo, konstipasyon kwonik, poupou AN FÒM RIBAN ak yon vant ki gonfle; trete ak operasyon pou retire entesten ki afekte a, souvan yon pull-through an yon sèl etap (pafwa yon ostomy tanporè anvan). APPENDICITIS kay timoun: doulè peryonbilikal ki deplase nan kadran enferyè dwat, sansiblite rebondisman, lafyèv ak vomisman; soulajman sibit doulè a sijere PERFORATION; pa gen chalè, lavman oswa laksatif. COMMUNICABLE DISEASES: VARICELLA kontajye depi 1 a 2 jou anvan gratèl la jiskaske tout lezyon yo fè kwout, epi li mande prekosyon ayeryèn plis kontak; MEASLES gen tach Koplik ak yon gratèl ki gaye depi tèt la desann, ak prekosyon ayeryèn; FIFTH DISEASE montre yon gratèl machwè ki sanble yon kalòt epi li yon risk pou kontak ansent; SCARLET FEVER akonpaye yon enfeksyon strep gwoup A, anjeneral gòj strep, ak yon gratèl ki sanble papye sab ak yon lang frèz; HAND-FOOT-AND-MOUTH montre lezyon nan bouch ak nan pla men oswa pla pye. Pa janm bay ASPIRIN bay timoun ki gen maladi viral akoz sendwòm Reye.

PYLORIC STENOSIS: PROJECTILE non-bilious vomiting after feeds in an infant 2 to 8 weeks old who is hungry again immediately, with an OLIVE-SHAPED mass in the right upper abdomen, dehydration and metabolic alkalosis from lost stomach acid; treated with surgery after fluid and electrolyte correction. INTUSSUSCEPTION: a telescoping bowel in a 3 month to 3 year old with sudden episodic severe abdominal pain, DRAWING THE KNEES UP, a sausage-shaped mass and CURRANT JELLY stools (blood and mucus); treated with an air or contrast enema, with surgery if that fails; a normal brown stool afterward suggests the reduction worked. HIRSCHSPRUNG DISEASE: missing nerve cells in the colon, so no meconium in the first 24 to 48 hours, chronic constipation, RIBBON-LIKE stools and a distended abdomen; treated with surgery to remove the affected bowel, often a single-stage pull-through (sometimes a temporary ostomy first). APPENDICITIS in children: periumbilical pain moving to the right lower quadrant, rebound tenderness, fever and vomiting; sudden relief of pain suggests PERFORATION; no heat, enemas or laxatives. COMMUNICABLE DISEASES: VARICELLA is contagious from 1 to 2 days before the rash until all lesions crust, and needs airborne plus contact precautions; MEASLES has Koplik spots and a rash spreading from the head down, with airborne precautions; FIFTH DISEASE shows a slapped-cheek rash and is a risk to pregnant contacts; SCARLET FEVER accompanies a group A strep infection, usually strep throat, with a sandpaper rash and a strawberry tongue; HAND-FOOT-AND-MOUTH shows oral and palm or sole lesions. Never give ASPIRIN to children with viral illness because of Reye's syndrome.

🏥 Nan lavi reyèl

🎯 Yon tibebe 9 mwa kriye fò epi li rale janm li yo monte chak 20 minit, apre li vin mou epi pal ant epizòd yo. Kouchèt la gen yon poupou wouj fonse ki sanble jele. Enfimyè a rekonèt intussusception, li kenbe tibebe a NPO epi li prepare pou yon lavman kontras. Yon èdtan apre yon poupou mawon nòmal sijere lavman an te redwi intussusception an, epi enfimyè a rapòte li bay founisè a. Siveye kouchèt la te etap evalyasyon an.

🎯 A 9-month-old screams and pulls up his legs every 20 minutes, then goes limp and pale between episodes. The diaper holds a dark red, jelly-like stool. The nurse recognizes intussusception, keeps the infant NPO and prepares for a contrast enema. An hour later a normal brown stool suggests the enema has reduced the intussusception, and the nurse reports it to the provider. Watching the diaper was the evaluation step.

📌 Sa pou retni

• Stenoz pilorik: vomisman pwojektil, mas oliv, alkolozPyloric stenosis: projectile vomiting, olive mass, alkalosis
• Intussusception: poupou jele korint, jenou rale monte; lavman redwi liIntussusception: currant jelly stools, knees drawn up; enema reduces it
• Varicella: kontajye jiskaske li fè kwout, ayeryèn plis kontak; pa gen aspirin pou maladi viralVaricella: contagious until crusted, airborne plus contact; no aspirin for viral illness

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