Hiatus hernia, Biology

Assignment Help:

Hiatus Hernia:

In  this type of hernia, cardiac end of  the stomach passes through an abnormally wide oesophageal opening in the diaphragm  (see Fig. 2.6). Clinical manifestation includes salivation, regurgitation  and vomiting. The vomiting may sometimes be associated with mucus and blood due to oesophageal  irritation. There may be failure to thrive, anaemia and pneumonia due to aspiration. There may be retrosternal pain and burning sensation due to oesophagitis which may lead to stenosis in chronic cases. Diagnostic evaluation includes barium swallow which shows free reflux. These children are usually nursed in uprightlpropped up position, antacids are used in case of  oesophagitis and semi solid feeds are used to prevent reflux. Surgery is indicated in case of stenosis.  

Assessment:

The symptoms do not appear until baby is two or three weeks old. The child may present with nonbilious vomiting which later on becomes forceful and projectile, regurgitation,'failure to thrive and constant hunger or excessive hunger and willingness to take feed after vommiting. The von~itus  may contain mucus and may be blood streaked. Occassionally there may be greenish stools, gastric haemorrhage or Jaundice, dehydration and electrolyte imbalance. ' - Clinical evaluation includes palpaton of an olive shaped mass in the right upper quadrant of the abdomen, epigastric fullness, and peristaltic waves mov'rig from right to left. Diagnositc evaluation includes ultrasound, and a barium meal showing gross narrowing and elongation of pylorus. The stomach is markedly distended wid1 abnormal retention of barium as barium cannot pass in duodenum. 


Related Discussions:- Hiatus hernia

What are the biological troubles, Q What are the biological troubles that m...

Q What are the biological troubles that molluscs face due to their soft body? Because molluscs have a soft body they are further fragile. They also have more complexity to supp

Role of private sector in health care - competition, Role of Private Sector...

Role of Private Sector in Health Care - Competition When the private sector is driven by competition it tends to be more efficient. With competition, benefits like cost reduct

Growth charts, Growth Charts Management alone without any standard of ...

Growth Charts Management alone without any standard of comparison do not serve useful purpose. A number of standards have been developed to compare the measurement of any

Define precaution-estimation of nitrogen and protein content, Define Precau...

Define Precautions - Estimation of Nitrogen and Protein Content? 1. The apparatus should be airtight to prevent leakage of NH 3 . 2. The tip of the delivery tube should be i

Clathrin-coated pits and vesicles, Clathrin-coated pits and vesicles are in...

Clathrin-coated pits and vesicles are included in both the endocytosis   of material   at the plasma membrane and the exocytosis of proteins from the Golgi   apparatus.  Electron

Eutrophication - effect on water bodies, Eutrophication - Effect on Water B...

Eutrophication - Effect on Water Bodies Moderate quantities of sewage decay naturally in a water body and water gets purified after some time. But the problem arises when the

Which is the vertebrate class, Q. Which is the vertebrate class that is con...

Q. Which is the vertebrate class that is considered the first entirely terrestrial? Totally independent from the aquatic habitat, The first entirely terrrestrial vertebrate cla

Day-neutral plants, Day-Neutral Plants  Besides SDP and LDP, those pla...

Day-Neutral Plants  Besides SDP and LDP, those plants that flower irrespective of the length of light are called day-neutral plants. For these there is no specific requirement

Explain the soft diet, Explain the soft diet The soft diet provides so...

Explain the soft diet The soft diet provides soft whole food that is lightly seasoned and moderately low in fibre. The foods have a soft  texture and are easy  to digest. Smal

Explain about the protein-energy ratio, Explain about the Protein-Energy Ra...

Explain about the Protein-Energy Ratio (NDP Cal%)? Platt and his colleagues (1961) are largely responsible for the introduction of the ratio of protein energy to total energy (

Write Your Message!

Captcha
Free Assignment Quote

Assured A++ Grade

Get guaranteed satisfaction & time on delivery in every assignment order you paid with us! We ensure premium quality solution document along with free turntin report!

All rights reserved! Copyrights ©2019-2020 ExpertsMind IT Educational Pvt Ltd