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6 Cards in this Set
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Typical symptoms of midgut volvulus
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sudden onset of abdominal pain and bile-stained emesis
The ischemia and necrosis may lead rapidly to bloody stools. |
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x-ray in midgut volvulus:
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Flat and upright x-rays of the abdomen may reveal several small loops of bowel overriding the liver shadow, with little or no gas in the distal GI tract. Double bubble on upright film.
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Exam in midgut volvulus:
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mild abdominal distention, diffusely tender abdomen
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What is the study of choice to diagnose midgut volvulus?
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An upper gastrointestinal radiographic series
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What causes midgut volvulus?
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abnormal fixation of the mesentery of the bowel-- including the superior mesenteric artery-- during early fetal development
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What does a double bubble represent?
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partial obstruction of the duodenum causing distention of the stomach and the first part of the duodenum.
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