MM.C.U NZIMRT.pptVIP

Anne Connell PRESENTATION First or Second Week of Life SYMPTOMS Abdominal Distension Feeding Intolerance Increased Aspirates From N.G.tube Sepsis Anne Connell SUPINE DECUBITUS HORIZONTAL BEAM Anne Connell RADIOGRAPHIC FINDINGS Normal Suggestive Diagnostic Anne Connell SUGGESTIVE Focal dilation of bowel Featureless “unfolded” appearance of small bowel loops with separation of bowel loops suggestive of bowel wall thickening Anne Connell Appearance of “unfolding” of loops of small bowel N E C Anne Connell SUGGESTIVE Focal dilation of bowel Featureless “unfolded” appearance of small bowel loops with separation of bowel loops suggestive of bowel wall thickening An unchanging gas pattern over serial films is of concern. Anne Connell DIAGNOSTIC Definite Sign PNEUMATOSIS ( gas in bowel wall) Anne Connell Anne Connell Anne Connell TREATMENT When NEC is suspected Bowel rest ( nothing orally) Antibiotics Monitored with serial abdomen films Anne Connell DIAGNOSTIC DEFINITE SIGN PNEUMATOSIS ( gas in bowel wall) FREE INTRAPERITONEAL AIR INDICATES SURGERY Anne Connell Anne Connell POSITION LOCATION UAC and UVC LINES Anne Connell anne.connell@mater.org.au Anne Connell GRATEFUL THANKS FOR ULTASOUND ASSISTANCE Ivan Simic And Dr Umesh Shetty for his advice Mater Children’s Radiology THE PAEDIATRIC ABDOMEN INTUSSUSCEPTION Diagnosis by Ultrasound Treatment by Imaging and Air Enema Anne Connell Mater Children’s Radiology Anne Connell INTUSSUSCEPTION PART OF THE INTESTINE FOLDS ON ITSELF LIKE A TELESCOPE Anne Connell SYMPTOMS Crying Pulling Up Legs Vomiting Stools like “currant jelly” PALE Anne Connell CAUSES 90% Idiopathic Unsure but it is believed that a virus may be the cause.( Anomalies with peristalsis) 10% Pathologic A polyp, tumour or other mass within the intestinal tract is caught by the normal contractions, creating a “lead point” which pushes along causing the intussusception Anne Con