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 uristix benedicts test, Q. Explain Uristix Benedicts test? No s...

Q. Explain Uristix Benedicts test? No sugar/glucose is excreted in the urine in normal individuals. In diabetics, glucose is excreted by the kidneys when the blood sugar levels

Determine about the trichromatic vision, Determine about the Trichromatic v...

Determine about the Trichromatic vision Trichromatic vision is the terminology used for normal vision, those who require aU' three primary colours to make a match with an unkno

Biodiesal, Diesel-like liquid obtained from materials of biological origin ...

Diesel-like liquid obtained from materials of biological origin is called biodiesel. Biodiesel can be obtained (i) either from lipids accumulated plants and algae or (ii) from

Taxonomy, classification of grantia

classification of grantia

Timber, what is cup shake?

what is cup shake?

Explain false left ventricular aneurysm, Explain False Left Ventricular Ane...

Explain False Left Ventricular Aneurysm? False Left Ventricular Aneurysm :  False aneurysm develops after acute rupture of an infarct. It is usually fatal, but a few survive

Treatment and management of hypertension, Q. Treatment and Management of Hy...

Q. Treatment and Management of Hypertension? The first choice of treatment and management of primary hypertension is through behaviour modifications pertaining to food choices

How to calculate the raw score for each scale, How to calculate the raw sco...

How to calculate the raw score for each scale The raw score for each scale is the sum of the 0, 1 and 2 item scores. Thus, the higher the score, the poorer the performance. Th

Partial pericardiectomy-pericardial effusion, Partial Pericardiectomy :  ...

Partial Pericardiectomy :  The approach can be either by a left anterolateral thoracotomy or median sternotomy. For pyogenic pericarditis with adhesions and loculations a par

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