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

Neurosecretory systems, Neurosecretory Systems Almost all groups of m...

Neurosecretory Systems Almost all groups of multicellular animals have been investigated to find out if neurosecretory cells are present in them. Such investigations have sho

Explain anticonvulsants and cerebral palsy, Anticonvulsants and Cerebral Pa...

Anticonvulsants and Cerebral Palsy Anticonvulsants : drugs that prevent reduce or stop convulsions or seizures. Cerebral Palsy: A group of chronic foundations affecting

Venous return, This is the amount of blood that is returned to the heart by...

This is the amount of blood that is returned to the heart by the veins. This is influenced by various factors. Inspiration decreases the pressure in the  central veins and thus inc

Explain about human sperm, Which one of the following statements about huma...

Which one of the following statements about human sperm is correct? 1. Acrosome has a conical pointed structure used for piercing and penetrating the egg, resulting in fertilis

Gastrulation, Gastrulation The end of cleavage of the unicellular zyg...

Gastrulation The end of cleavage of the unicellular zygote results in the creation of multicellular blastula, which may be a solid structure with no a cavity (stereoblastula)

How can the formation of egg cells from germ cells, Indicating the name and...

Indicating the name and respective ploidy of each involved cell how can the formation of egg cells from germ cells be described? The formation of egg cells starts with a germ c

What is rearrangement reaction, PREPARATION OF BENZILIC ACID 1.  What i...

PREPARATION OF BENZILIC ACID 1.  What is rearrangement reaction? The reactions in which the carbon of the molecule is rearranged to give a structural isomer of the original

Where in the body is the thyroid gland located, Q. Where in the body is the...

Q. Where in the body is the thyroid gland located? The thyroid is located in the anterior cervical region (frontal neck) in just below the larynx and front of the trachea and i

Signify the glands which are located at upper end of kidney, Part of the en...

Part of the endocrine system in humans, these 2 glands are small bodies located at upper end of every kidney. While these glands perform a range of functions, two of the most signi

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