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

Compare and contrast changes in carbon, Compare changes in the carbon cycle...

Compare changes in the carbon cycle to that of the nitrogen cycle on human health. Please make a conceptual graphical model for how changing the carbon cycle is likely to impact hu

Emergency room management, Emergency Room Management Patient may needs...

Emergency Room Management Patient may needs incubation and ventilatory support till such time that patient is able to breathe normally. In some cases: patient is admini

Define the open loop system, Situation in which a closed loop negative feed...

Situation in which a closed loop negative feedback system is  converted to an open loop system?     A.  A disease that destroys all the adenylyl cyclase and all the cAMP in the

Digestion in the intestine, Digestion in the Intestine About  2  to  3 ...

Digestion in the Intestine About  2  to  3  liters  of  alkaline  fluid  is secreted every  day  by  the intestine  and completes the digestive process.  Sodium bicarbonate and

In which phase mother exchanges substances to fetus, Exchange of oxygen, nu...

Exchange of oxygen, nutrients, carbon dioxide and waste products from mother to fetus takes place through diffusion across the: a) Chorionic villi (pron: core-e-on-ick villi)

Shows evidence to see the in environment abd ecology, Shows evidence of the...

Shows evidence of the ability to see the interaction between environment / ecology and genetics /  evolution Some candidates may recognise that evolution can result in less no

What are the ploidies of the new cells, Q. In which meiotic division does t...

Q. In which meiotic division does the separation of identical chromatids take place? And After the end of this process what are the ploidies of the new cells? The separation of

Kingdom fungi, what are the characteristis in species in the phyla division...

what are the characteristis in species in the phyla division

Which part of heart serves as an actuating signal, Which of the following s...

Which of the following serves as an actuating signal, or as part of an actuating signal, in a negative feedback system? A. Action potentials in sympathetic neurons that release

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