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 phases to atherosclerosis, Q. What are the phases to atheroscl...

Q. What are the phases to atherosclerosis? There are five phases to atherosclerosis: Phase I: Asymptomaticphase, consists of fatly streaks which are non-obstructive, lipi

Corpus cardiacum - endocrine organs, Corpus Cardiacum - Endocrine Organs ...

Corpus Cardiacum - Endocrine Organs We before mentioned that corpus cardiacum (pl. corpora cardiaca) is a neurohemal organ in insects. It is gland of neural origin. They are c

Explain the bioavailability of folate, Explain the Bioavailability of Folat...

Explain the Bioavailability of Folate? Bioavailability of folate from naturally occurring food sources is variable and frequently incomplete, as mentioned earlier in the food

Peste des petits ruminants (ppr), Peste des petits ruminants (PPR) is an a...

Peste des petits ruminants (PPR) is an acute, highly contagious viral disease of goats and sheep caused by peste des petits ruminants (PPR) virus which belongs to the genus Morbil

Name the phases into which hiv infection is often divided, What are the thr...

What are the three phases into which the HIV infection is often divided? The HIV infection is often separated into three phases: the acute phase, from the infection to 1 until

Constituents of cell walls in bacteria, Q. What are the main respective con...

Q. What are the main respective constituents of cell walls in bacteria, protists, fungi and plants? In bacteria the cell wall is made of peptidoglycans, amongst protists algae

Mechanisms for pumping blood, Normal 0 false false false ...

Normal 0 false false false EN-IN X-NONE X-NONE MicrosoftInternetExplorer4

Central and peripheral nervous system - geriatric nutrition, Explain Centra...

Explain Central and Peripheral Nervous System - Geriatric Nutrition? Age related changes occur in various senses related to the cranial nerves-vision, hearing, taste and smell

Cells, what are golgi apparatus

what are golgi apparatus

Harshey-chase experiement, What is the Harshey-chase experiement .explain i...

What is the Harshey-chase experiement .explain in detail

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