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 trends of the gametophyte in the evolution of plant, What are tren...

What are trends of the gametophyte in the evolution of plants? The tendency of the gametophyte evolution in plants has been towards the formation of gametes that are self-dete

What is the nucleolus, What is the nucleolus? The nucleolus is a small ...

What is the nucleolus? The nucleolus is a small and optically dense region in the interior of the cell nucleus. It is made of ribosomic RNA (rRNA) and proteins. Single nucleus

What are three main problems with having only two kingdoms, What are three ...

What are three main problems with having only two kingdoms There are three main problems with having only two kingdoms. The first problem concerns the unicellular flagellates

Define distribution of food products – public nutrition, Define Distributio...

Define Distribution of Food Products - Public Nutrition? We learnt earlier that we have buffer stocks of food grains in our country. These stocks do help to combat acute transi

What is tricuspid atresia: surgery for single ventricle, What is Tricuspid ...

What is Tricuspid Atresia: Surgery for Single Ventricle Physiology In tricuspid atresia, the right atrium fails to open into right ventricle through a right atrioventricular va

Gene organization, In marked contrast to prokaryotic genes where proteins a...

In marked contrast to prokaryotic genes where proteins are encoded by a continuous sequence of triplet codons and the vast popular of protein-coding genes in eukaryotes are discont

What are the disadvantages of mucoperiosteal flap, What are the Disadvantag...

What are the Disadvantages of mucoperiosteal flap More traumatic - flap is raised  Sutures are required and the next procedure of impression is delayed till afterthe suture

What is coelom - body cavity explain, What is Coelom - Body Cavity explain?...

What is Coelom - Body Cavity explain? Among the bilaterally symmetrical organisms, animals have three different types of body plans with respect to body cavities. The term coel

Feeding on food masses, Normal 0 false false false EN-I...

Normal 0 false false false EN-IN X-NONE X-NONE MicrosoftInternetExplorer4

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