Pediatric surgery i

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  • 1. Pediatric surgery

2. involving the surgery of fetuses, infants,children, adolescents,and young adultsthe 20thPediatric Pediatriccentury assurgery is a surgerysubspecialtythe surgical of surgery care of birth defectsSubspecialties ofpediatric surgeryitself include:neonatal surgeryand fetal surgery. 3. Pediatric diseases treated by surgery 4. Surgery vascular Conduits for Vascular Reconstruction in the Pediatric Patientarterial and venous Such factors includegrafts, such as Manyfactors the small caliber ofgreat saphenous must be their vessels, theand internal iliacconsideredpossibility of spasm,the risk of infection,veins and internalwhendealing the propensity formammary,radial, with this patient children to rapidlyandhypogastricpopulation. form collateralarteriescirculation 5. Otolaryngology diseases Serous otitisprocess characterized mainly affectsby collection of serousfluid or mucous in thechildren undermiddle ear space. 8 years 6. The Role of the Eustachiantube causesdeafnessmouth breathingSYMPTOMS otalgia 7. MEDICAL TREATMENT steroidal anti- oral inflammatoryantihistamines 8. Acute otitis mediaHaemophilusinfluenzae in culture positive figures close to 50% of thepatients studiedEtiologyViral infection usually precedes the bacteria 9. amoxicillin TREATMENTcefuroxime Amoxicillin- axetilClavulanic 10. OtorrheaThe mucous the light to otorrhea due middle ear to middle eardisordersdisease the pathology of purulent outer ormiddle 11. Hearing screening in newborns otoacoustic emissions and should be performed after 48 hours first must be made within 7 days and months of life, using detection of otoacoustic emissions (OEA)second ABR Auditory Brainstem conventional (PTC) to be held between the first and second month of third life. 12. Rhinosinusitis aspiration of the germs is after the origin of the problem PathogenyThe nasal flora is an ideal medium for their proliferation, initiating the infectious 13. Treatment Humidification antibioticsnasal washestopical mucolytics corticosteroids antihistamines 14. Allergic rhinitis hydrorrheaobstruction symptomsitchingsneezing 15. treatment topical and oralantihistaminesoral and topicaltopical and oralcorticosteroidsdecongestantsAnticholinergics topical 16. Acute pharyngitisinfectious process ofthe pharynx, of which the most notorious and frequentinvolvement of thepalatine tonsils 17. Treatmentantipyretic and alternative penicillinanalgesic erythromycin 18. Transplants in children 19. Organ transplants are a very serious and complex health in our countryThe most common transplantin general (both children and adults) is the kidneyIn regard to children a yearare about 70Transplants inchildren in ourcountry the needs would be 100 the pediatric donors represented 3.4% of donors which sometimesis not enough 20. What are the Neonatal Livercauses?transplantationAcute liverfailureand chronic 21. :Pediatric patients account for Neonatal Liver about 12.5% of liver transplanttransplantation recipients.Medical treatment, surgery, andpostsurgical care can be broken into4 basic steps: 1-Candidate evaluation 2- Waiting period 3- Surgery 4- Postsurgical care 22. Medical management is generally divided into pretransplant and posttransplant periods Neonatal Livertransplantation Nutritional status impactsboth pretransplant and posttransplant outcomes, especially in the pediatric population, because of anincreased incidence of cholestatic liver diseases. 23. Bone marrowtransplantationThe majority in childrenof cases iswhen a person has leukemia What is bone marrowtransplantation?Involves extracting stemcells and grafted into thepatient who needs toregenerate an organ 24. Leukemia and stem cellsThe extraction of stem cells can produce new whiteblood cells altered in leukemia 25. TYPES OF SURGERY IN LEUKEMIAAutologous Umbilical CordAllogeneic Is when the It is called when The donor is an the source ofumbilical cord stem cell allogeneic stemsource is thecell is a personpatientother than the patient 26. UROLOGY DESEASEHemorrhagic cystitis is defined by lower urinarytract symptoms that include hematuria andirritative voiding symptomsIt results from damage to the bladdertransitional epithelium and blood vessels bytoxins, pathogens, radiation, drugs, or disease 27. Infectious causes of hemorrhagiccystitis include bacteria and virusesNon infectious hemorrhagic cystitis mostcommonly occurs in patients who have undergonepelvic radiation, chemotherapy, or both. Radiation-induced hemorrhagic cystitis 28. VOIDING DYSFUNCTIONAccounts for as many as 40% of pediatricurology clinic visitsVoiding reflect alterations in urinary bladderfunctionMany forms of voiding dysfunction can bethought of as a delay in the acquisition ofdaytime urinary control, which typically occurs byage 4 years 29. Persistent daytime urinary incontinence may havean underlying neurologic, anatomic, infectious, orfunctional basis. 30. isthe narrowing of part of thestomach (the pylorus) thatleads to the small intestineThis narrowing occurs becausethe muscle around the pylorushas grown too. 31. Diagram of stomach withpyloric stenosis. Look atthe cross section showingthe narrowing of thepyloric opening.SYMPTOMSprojectilevomitingweight lossdehydration 32. How is pyloric stenosis diagnosed? Physical exam:showing an enlargedpyloric valve. Barium study ofuppergastrointestinal (upper GI). Abdominal ultrasoundTreatmentAsurgical procedure called pyloromyotomy 33. calledHernia parasternal or retrosternaldiaphragmatic above, characterized byabnormal development of the diaphragmmuscle in which there is a hernia with aperitoneal sac that protrudes through thehiatus sternocostal. Severe respiratory distress atSYMPTOMS birth 34. Diagnosis chest x-ray Nuclear magnetic resonance. Multidisciplinary assessmentTreatment Emergency surgery to place the abdominal organs into the proper position and repair the opening in the diaphragm