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

Admission of mentally patient, Admission of Mentally Patient: Volunt...

Admission of Mentally Patient: Voluntary Basis  (Voluntary Admission)   Any adult person who considers himself  to be mentally ill, can  request  the Medical Officer for

Functions of skin, FUNCTIONS OF SKIN - Skin performs various diverse fu...

FUNCTIONS OF SKIN - Skin performs various diverse functions, that is why it is called "jack of all trades". 1 .      Protection - The skin protects the internal soft or

Morulation, MORUL A TIO N - 32 celled embryo is solid looks like lit...

MORUL A TIO N - 32 celled embryo is solid looks like little mulberry known as morula. It reaches uterus on fourth day. Still it is covered by fertilization membrane mainl

Explain cosmid, Cosmid: The type of artificially constructed vector taken ...

Cosmid: The type of artificially constructed vector taken in use for cloning the 35-45 kb of DNA. These are plasmids carrying the phage l cos site (which permits packaging into l

Biota of lakes, Biota of Lakes Lakes exhibit life zones. So far you h...

Biota of Lakes Lakes exhibit life zones. So far you have been reading about the vertical zonation of lakes. The lakes can be divided into horizontal zones as well. This divis

Differentiate individual atoms true or false, What is the first step normal...

What is the first step normally taken when you look through the oculars? The nuclei of the cheek cells have been stained using a special dye so that they appear purple. What is the

Describe the uses of pupil, Describe the uses of pupil Variation in the...

Describe the uses of pupil Variation in the size, shape or reaction usually indicates some form of disease, disorder or use of medication. The pupil is usually dilated by the u

Explain renal insufficiency, Renal insufficiency  Antimicrobial drugs e...

Renal insufficiency  Antimicrobial drugs excreted through the urinary tract may be toxic for patients with renal insufficiency if they are given in usual therapeutic doses, bec

Define the obesity in children, Define the Obesity in Children? It is d...

Define the Obesity in Children? It is difficult to measure overweight or obesity in children and adolescents because they grow and mature at different rates. Weight status in c

Names of animals, write the names of these animals? 1.amoeba 2.sponge 3.hyd...

write the names of these animals? 1.amoeba 2.sponge 3.hydra 4.liverfluck 5.Iscariot 6.leech 7.insects 8.oyster 9.starfish 10.frog

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