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

Types of osmotic exchanges, Types of Osmotic Exchanges The osmotic exc...

Types of Osmotic Exchanges The osmotic exchanges that take place between an animal and its environment are of two different types: Obligatory exchanges and Regulated

Explain left atrial enlargement, Q. Explain Left Atrial Enlargement ? T...

Q. Explain Left Atrial Enlargement ? This chamber is oval in the frontal projection and flattened in lateral projection. On the PA view, its appendage makes a small contributio

Is the embryonic development in birds indirect or direct, Q. Is the embryon...

Q. Is the embryonic development in birds indirect or direct? The embryonic development is direct there is no larval stage. Q. What are the predominating chemical compounds

Acute myocardial infarction with haemodynamic deterioration, Acute Myocardi...

Acute Myocardial Infarction with Haemodynamic Deterioration :  These patients may require urgent insertion of intra aortic balloon pump (IABP) followed by PTCA or surgery. 50 per

Define precaution for estimation of vitamin c in lemon juice, Define precau...

Define precaution for estimation of vitamin c in lemon juice? 1. Rinse all glassware with 3% metaphosphoric acid before you begin your practical and subsequently each time you

Central carbons participate in the peptide bond, Q. Do the -H groups bound ...

Q. Do the -H groups bound to the central carbons participate in the peptide bond? The central carbons themselves, the -R groups and the hydrogen attached to the central carbons

what is the optimum temperature for catalyses, Explain What is the optimum...

Explain What is the optimum temperature for catalyses? Ans) For any chemical reaction, the reaction rate enhances with temperature, so the higher the temperature, the earlier t

Define prevention of iron deficiency, Define Prevention of Iron Deficiency?...

Define Prevention of Iron Deficiency? Iron deficiency anaemia accounts for approximately one-half or more of all the anaemia's seen worldwide. Iron deficiency without anaemia a

Explain linolenic acids, Linolenic Acids Fats in this group contain sub...

Linolenic Acids Fats in this group contain substantial amounts of linolenic acid (C18 triunsaturated). Examples are soybean, mustard, rapeseed, flaxseed and wheat germ hemps

+illustrate sturdy evolutionary hypothesis, Q. Why is it a sturdy evolution...

Q. Why is it a sturdy evolutionary hypothesis that although viruses are the structurally simplest beings they were not the first living beings? The fact that viruses are obliga

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