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

Animal biodiversity, Ask question #M1. Discuss why Obelia is considered to ...

Ask question #M1. Discuss why Obelia is considered to be of special interest in Zoology as an animal showing an intermediate grade of organization. inimum 100 words accepted#

How do hormonal tests to detect pregnancy work, Q. How do hormonal tests to...

Q. How do hormonal tests to detect pregnancy work? Laboratory tests to detect pregnancy commonly test for human chorionic gonadotropin (HCG) concentration in urine or blood sam

Blood circulation and respiration, A person is declared to be dead upon the...

A person is declared to be dead upon the irreversible cessation of spontaneous body functions: brain activity, or blood circulation and respiration. However, only about 1% of a per

Explain the role of dietitian''s in feeding dilemmas, Explain the role of d...

Explain the role of dietitian's in feeding dilemmas Usually, the dietitian's role in  feeding dilemmas is seen as secondary and the physician's role  is the  focus. In reality,

Final common pathway of the degradation of organic compounds, Q. Why is the...

Q. Why is the Krebs cycle also called the final common pathway of the degradation of organic compounds? The Krebs cycle is known as the final common pathway of the degradation

Pericardial window through left antero lateral thoracotomy, Pericardial Win...

Pericardial Window Through Left Antero Lateral Thoracotomy :  A small left antero lateral thoracotomy is done through the 5"' intercostal space. A pericardial windo

How can we examine the chromosomes, Is it more indicated for a geneticist d...

Is it more indicated for a geneticist desiring to map the X chromosome of the mother of a given family (the researcher does not have access to her DNA, only access to the genetic m

Myoglobin, Myoglobin We can build up the structure of haemoglobin by c...

Myoglobin We can build up the structure of haemoglobin by considering a single unit or monomeric form caned myoglobin. This consists of a single polypeptide chain the globin i

What is the difference between macro and micronutrients, What is the differ...

What is the difference between macro and micronutrients? The categorization criterion of nutrients into macro and micronutrients has no relation to the size of the molecule. M

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