Peptic Ulcer Disease — Flashcards

Flashcard 1: _____ often presents with a palpable "olive-like" mass in the epigastric region of the abdomen

Answer: Pyloric stenosis

Flashcard 2: An abdominal mass in a patient with congenital hypertrophic pyloric stenosis is best seen during _____

Answer: feeding

Flashcard 3: What is the next best investigation for a patient with suspected jejunal atresia on X-ray?

Answer: Upper GI contrast study (Upper GI series)

Extra: In neonates with suspected proximal intestinal obstruction (such as jejunal atresia) where the X-ray is not diagnostic, an Upper GI series is the next step to confirm the level of obstruction and, crucially, to rule out malrotation with midgut volvulus. Note: For distal bowel obstruction (multiple dilated loops on X-ray), a contrast enema is typically the next investigation of choice to differentiate between ileal atresia, meconium ileus, and Hirschsprung's disease.

Flashcard 4: USG criteria for diagnosing CHPS: Pyloric thickness of more than _____ mm or a Pyloric length greater than 15 to 18 mm in the presence of functional gastric outlet obstruction

Answer: 3 to 4

Flashcard 5: _____ atresia is associated with Down syndrome

Answer: Duodenal

Flashcard 6: The most common extraintestinal manifestation of celiac disease in the paediatric age group is _____

Answer: iron-deficiency anaemia

Flashcard 7: Treatment of Alagille syndrome is _____ or bile acid sequestrants for pruritus

Answer: ursodeoxycholic acid

Flashcard 8: What is the classification of the following type of jejunoileal atresia? _____

Answer: Type IIIa

Flashcard 9: _____ vaccine is contraindicated in children with a history of intussusception or intestinal malformation

Answer: Rotavirus (e.g., Rotasil)

Flashcard 10: _____ syndrome is fulminant liver failure and encephalopathy in children with viral illness who take aspirin

Answer: Reye