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

What are the etiological agents of malaria, What are the etiological agents...

What are the etiological agents of malaria? The etiological agents of malaria are protozoans of the genus Plasmodium. There are four dissimilar types of plasmodia that cause ma

Explain threaded implants, Q. Explain threaded implants? Cylindrical no...

Q. Explain threaded implants? Cylindrical non-threaded implants poorly distribute compressive forces and generate shears forces that may fragment and break the bone surrounding

Name the important food hydrocolloids, Some of the important food hydrocoll...

Some of the important food hydrocolloids are listed below: Alginate Carboxymethyl Cellulose Guar gum Gum Arabic Xanthan Gum Carrageenan All h

How do the availability of water and light affect population, How do the av...

How do the availability of water and light and the climate affect the growth of a population? The availability of water and light and the climate are abiotic factors that limi

What is muscular dystrophy, What is Muscular dystrophy Muscular dystro...

What is Muscular dystrophy Muscular dystrophy :- Defects in the muscle due to faulty nutrition.

What is the role of stomach in human body, What is the role of Stomach in h...

What is the role of Stomach in human body? The stomach serves both to digest food and to hold it so that it can be gradually released into the small intestine. Food stays in th

#ti ZOOLOGY , WHAT ARE SOME INFORMATION ABOUT HUMAN ZOOLOGY?

WHAT ARE SOME INFORMATION ABOUT HUMAN ZOOLOGY?

Rana tigrina, cranial and spinal nerves account of rana tigrina

cranial and spinal nerves account of rana tigrina

Pathophysiology of constrictive pericarditis, Q. Pathophysiology of constri...

Q. Pathophysiology of constrictive pericarditis? Ans. The thickened and rigid pericardium causes constriction of the heart and restricts ventricular dialatation and diasto

Iaa stimulates cell enlargement, IAA Stimulates Cell Enlargement Cell...

IAA Stimulates Cell Enlargement Cell wall contains layer of cellulose fibrils and are normally quite rigid. Thus for a cell to grow, there must be a mechanism for relaxing th

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