Gastroesophageal Reflux Disease

A 5 month old infant is brought into the Emergency Department by her parents because they feel she has been persistently irritable and back arching after feeds for the last month. They have looked up ‘infant reflux’ on the internet, but upright positioning and changing formulas several times has not made any difference. They are…

Upper GI Bleed

A 7 year old boy is referred from a peripheral hospital for a 2 day history of passing black tarry stool. On the 3rd day he passes loose stools mixed with dark maroon blood clots. For the last week he had been having upper respiratory tract symptoms and had daily doses of ibuprofen for his…

Pyloric stenosis

Key points: Think of pyloric stenosis in a vomiting infant. Only about 1 in 7 cases will have the classic triad of projectile vomiting, visible peristalsis and the palpable “olive”. Hypokalemia suggests several weeks of symptoms. Ultrasound is the most common diagnostic modality, in addition to Hx & Examination. Rehydrate and correct electrolyte disturbances before…

Gastrostomy Week – Devices

You review a patient on the ward for abdo pain and pyrexia, and they have some sort of tube with feeds going into their stomach. You need to call the surgeons for a consult for their abdo pain. But what you call it? Do you know the difference between your PEGs and gastrostomies? Do you…

Gastrostomy Week – types

You review a patient on the ward for abdo pain and pyrexia, and they have some sort of tube with feeds going into their stomach. You need to call the surgeons for a consult for their abdo pain. But what you call it? Do you know the difference between your PEGs and gastrostomies? Do you…

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