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

Define food intake and energy requirements for humans, Define Food Intake a...

Define Food Intake and Energy Requirements for Humans? Many studies have shown that the subjects loose significant amounts of body mass; fat mass, as well as, fat free mass du

Explain the working of senses: touch, Explain The working of Senses: Touch,...

Explain The working of Senses: Touch, Hearing, Equilibrium ? The senses are detected by sense organs, collections of receptor cells, or cells closely associated with them. A m

Uses of microbes in industry-amino acids and vitamins, Normal 0 ...

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

Classification of enzymes, Classification of Enzymes : Enzymes are clas...

Classification of Enzymes : Enzymes are classified  into the following six main categories in according with  the nature of reaction the catalyze: 1.      Oxidoreductases

Human impact on enviroment, What are the principal sources of of excessive ...

What are the principal sources of of excessive nitrate and phosphatebin rivers and lakes?

Explain seed gums, Seed gums Polysaccharides derived from plants and se...

Seed gums Polysaccharides derived from plants and seeds have been in use for thousand of years. Seed gums are a group of polysaccharides with the following properties: S

Foot as burrowing organ, Foot as Burrowing Organ The Scaphopoda that ...

Foot as Burrowing Organ The Scaphopoda that usually have burrowing habit, possess foot suitably modified for burrowing purpose. The conical and protrusible foot of Dentalium

Crustose lichen stage - xerarch, Crustose Lichen Stage - Xerarch On ba...

Crustose Lichen Stage - Xerarch On bare rocks, conditions are inhospitable for life, as there is extreme deficiency of water and nutrients, great exposure to sun, and extremes

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