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

Results-types of surgery in ar, Results: Largely depends on the LV functi...

Results: Largely depends on the LV function. In most centres surgical mortality is 3 to 4 percent. For patients with severe LV dysfunction the immediate and late results of sur

Spharosome, what is origin ofspharosome

what is origin ofspharosome

Signify asexual and how it is formed, Signify Asexual and how it is formed?...

Signify Asexual and how it is formed? Organisms which do not reproduce by recombination of genetic material contained in gametes. There is not any combination of a haploid sper

Determine the name of material used for bcc, Determine the name of Material...

Determine the name of Material used for BCC You must be interested to know about type of material you can prepare and some material is available in hospitals and clinics for us

Define water of oxidation or metabolic water, Define Water of oxidation or ...

Define Water of oxidation or metabolic water? Water that arises from oxidation of foods within the body, which is referred to as water of oxidation or metabolic water. Water wh

Inter specific incompatibility, Inter specific Incompatibility This t...

Inter specific Incompatibility This type of incompatibility is characterized by the prevention of fusion of gametes between members of different species. The incompatibility

Define function of the iron uptake by cells, Define Function of the Iron Up...

Define Function of the Iron Uptake by Cells? Iron has several vital functions in the body. It serves as a carrier of oxygen to the tissues from the lungs by red blood cell haem

Define about the polyphenols, Define about the Polyphenols? We now come...

Define about the Polyphenols? We now come to a group of compounds, which were until recently considered to adversely influence nutrient absorption or giving colour to foods e.g

Show signs and symptoms and treatments of hepatitis a, Q. What are the mode...

Q. What are the modes of transmission, main signs and symptoms and treatments of hepatitis A? The Hepatitis A is an acute disease of low mortality caused by the hepatitis A vir

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