NURS 3012 Study Guide - Midterm Guide: Congenital Diaphragmatic Hernia, Inguinal Canal, Bowel Obstruction
Document Summary
Lecture #1: congenital anomalies hernias: organ/tissue protrusion through muscle wall generally reducible concern is strangulation, most common umbilical (infants) and inguinal (children, life threatening diaphragmatic (infant, abdominal wall defects gastroschisis omphalocele. Surgery if>1. 5-2cm by age 2, persists to age4-6, or becomes strangulated. Protrusion of peritoneum through abdominal wall in inguinal canal. Incarceration is most common cause of bowel obstruction in infants and children. Abdominal structures enter thoracic cavity through defect in diaphragm. Rx: respiratory support (mechanical ventilation), gastric decompression, hydration. Gastroschisis- intestinal loops protruding through abdomen lateral to umbilicus (r>l) no sac covering extruded viscera isolated defect. Omphalocele herniation of abdominal viscera through abdominal ring covered by amnion and peritoneum associated anomalies. Urgent surgical closure complete or staged depending on size of defect developmental dysplasia of the hip (ddh: preluxation(dysplasia): Mild ligaments loose around hip joint allowing femur to move abnormally in acetabulum: subluxation: most common loose joint allows femoral head to move partway out of acetabulum, dislocation:
