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 directive and non-directive counseling, Directive and Non-directive...

Directive and Non-directive Counseling Directive Counseling  tends  to  be appropriate when  the  counselor  is  aware  of  the problem  and/or  is concerned about  the behavio

Show coding for stimulus intensity, Q. Show Coding for stimulus intensity? ...

Q. Show Coding for stimulus intensity? Coding for stimulus intensity: If AP's are all-or-none responses that do not vary in amplitude, how does the NS distinguish between stim

Define formation of healthy food habit - combat from obesity, Define Format...

Define Formation of healthy food habit - combat from obesity? Discarding faulty habits as early as possible. Most food habits formed at this age are for a life time. Special c

Explain the taxonomic concepts, Q. Explain the taxonomic concepts? The ...

Q. Explain the taxonomic concepts? The history of classification is an exciting aspect of plant taxonomy. The discovery of the use of plants for food and later as medicine bega

Biochemical nutrient cycle, What are some ways that humans can reduce the e...

What are some ways that humans can reduce the effect they have on the phosphorus cycle?

Determine the parts consists in our urinary system, Determine the parts con...

Determine the parts consists in Our urinary system Our urinary system consists of following:  Two kidneys  Two ureters  One urinary bladder  One urethra Apart fr

Can flying insects beat their wings with great speed, Q. Why, even though t...

Q. Why, even though they have an open circulatory system, can flying insects like flies beat their wings with great speed? In insects the circulatory system is open but this sy

Coronal disassembly with marginal defect, Coronal Disassembly - If the ...

Coronal Disassembly - If the existing restoration with marginal defect: - The crown was sectioned through the bucco-occlusaly , Christensen crown remover elevate and remove

What is weaning from mechanical ventilation, What is Weaning from Mechanica...

What is Weaning from Mechanical Ventilation? It is crucial to get the timing just right as to when to discontinue mechanical ventilation and extubate. If too early, this might

Observing the development of flowers into fruit, Observing the development ...

Observing the development of flowers into fruit Collect specimens of flowers in dissimilar stages of maturity from newly opened buds to specimens in which the petals have falle

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