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

Explain Stirred-tank bioreactors, Normal 0 false false fals...

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

Oxaloacetate to malate, Oxaloacetate to Malate Oxaloacetate to Malate:...

Oxaloacetate to Malate Oxaloacetate to Malate: Oxaloacetate cannot  permeate mitochondria 1 membrane well and it must be transported across the membrane in the form of malate

Describe the process of suture removal, Describe the process of Suture remo...

Describe the process of Suture removal Sutures should be removed within 1-2 weeks of their placement, depending on the anatomic location. Prompt removal reduces the risk of sut

What are the cell types that form the phloem, What are the cell types that ...

What are the cell types that form the phloem? What are the main features of those cells? The major cells that form the phloem are the sieve elements and the companion cells. Th

Difference between spermatid and spermatocyte ii, Q. What is the difference...

Q. What is the difference between spermatid and spermatocyte II? The spermatids (n) are the products of the second division of meiosis (meiosis II) in the male gametogenesis an

Define repletion studies for studying nutrient requirement, Explain the Dep...

Explain the Depletion and Repletion Studies for studying nutrient requirement? This is an experimental procedure in which volunteer subjects are kept on a diet devoid of a part

Alluvial-transported soil, Alluvial Materials of this catego~ya re depo...

Alluvial Materials of this catego~ya re deposited by running water in the form offroodplains, river terraces, deltas and alluvial fans. These deposits have two outstanding char

What would the result of a haploid egg, If a diploid sperm fertilized a hap...

If a diploid sperm fertilized a haploid egg, what would the result be? a.Haploid (n) b.Diploid (2n) c.A mixture of diploid (2n) and haploid (n) d.Triploid (3n)

Define protection of poly unsaturated fatty acids, Define Protection of pol...

Define Protection of poly unsaturated fatty acids (PUFA) from oxidative damage? The major biological role of vitamin E is to protect PUFAs and other components of cell membrane

Major conventional symbols & signs used in genetic family, What are the maj...

What are the major conventional symbols and signs used in genetic family trees? In the genetic family trees the male sex is usually represented by a square and the female by a

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