Paediatric Gastroenterology Dr Jessica Daniel ST8 Paediatrics
Slide 2 A huge subject! Vomiting Diarrhoea Constipation Abdominal
pain Nutrition Slide 3 Vomiting Infection Gastroenteritis
Rotavirus, Norovirus, Bacterial Gastroesophageal Reflux (GOR)
Obstruction Pyloric Stenosis Malformations Malrotation, atresias
Slide 4 Case Discussion 6wk old baby, born at term, bottle fed 2
week history of increasing vomiting Reduced wet nappies, BNO 2/7
Mild sunken fontanelle, Obs normal. 8mth old baby, term delivery,
previously well 3 day history of vomiting and reduced feeding BO
8/day, loose stool with reduced wet nappies Mild sunken fontanelle,
tachycardia A B Palpable epigastric mass, visible peristalsis pH
7.5, pCO2 4.5, BE +2 K 2.9, Cl 99, Examination unremarkable, mild
fever pH 7.29, pCO2 4.9, BE -5 Na 148, K 3.5, Ur 10, Cr 30 Slide 5
Gastroenteritis 10% of children
