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

The osmolarity of the rbcs and plasma after equilibration, Ed Rivers, a 3rd...

Ed Rivers, a 3rd year medical student, was alone in the hospital ER one night. It was unusually quiet that night, and the resident was getting some much needed sleep. A patient, Mr

Experiment to test your hypothesis, Deinococcus radiodurans is a bacterium ...

Deinococcus radiodurans is a bacterium that was isolated from cooling ponds in and around nuclear power plants. It is highly resistant to ionizing radiation. Propose an hypothesis

Excretory systems of the major arthropod classes, Q. How are the excretory ...

Q. How are the excretory systems of the three major arthropod classes constituted? In crustaceans a pair of excretory organs called green glands exists, the green glands collec

Predominant feature of steatorrhoea, Q. Predominant feature of steatorrhoea...

Q. Predominant feature of steatorrhoea? A predominant feature is delayed and defective absorption of fat, which results in bulky stools containing large quantities of fat (know

Which nitrogen is found in nature, What is the most abundant form under whi...

What is the most abundant form under which nitrogen is found in nature? The most abundant nitrogen-containing molecule found in nature is molecular nitrogen (N2). The air is 80

Processing methods for amelioration of anti-nutritional , Processing Method...

Processing Methods for Amelioration of Anti-Nutritional Meals from many oil seeds often contain undesirable toxic and allergenic compounds that can reduce their nutritive valu

Feeding on liquids, Feeding on Liquids Animals feeding on liquids are...

Feeding on Liquids Animals feeding on liquids are generally highly specialised for their feeding habits. Certain protozoa, endoparasites and aquatic invertebrates take up nut

Explain about the anorexia nervosa, Explain about the Anorexia Nervosa? ...

Explain about the Anorexia Nervosa? Anorexia nervosa, as you have read above, is a psychological eating disorder characterized by somatic delusions that one is too fat despite

How is opening and closing of stomata controlled, How is opening and closin...

How is opening and closing of stomata controlled? Describe a) Why is the length of a food chain in an ecosystem generally limited to 3 - 4 trophic levels? Explain with an examp

What is protein denaturation, What is protein denaturation? Is there any ch...

What is protein denaturation? Is there any change in the primary structure when a protein is denatured? Secondary, tertiary and quaternary structures of proteins are spatial st

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