Hiatus hernia, Biology

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. 

Posted Date: 10/26/2012 7:38:36 AM | Location : United States







Related Discussions:- Hiatus hernia, Assignment Help, Ask Question on Hiatus hernia, Get Answer, Expert's Help, Hiatus hernia Discussions

Write discussion on Hiatus hernia
Your posts are moderated
Related Questions
Avian encephalomyelitis This is an acute infectious disease of birds (3 weeks old), which is caused by a member of the genus Enterovirus in the family Picornaviridae. Epid

Explain Clear Liquid Diet Clear Liquid Diet:  It is composed  of  foods with  low residue content which  help  to minimize  the  load of food needing digestion  in  the  int

Implant Selection Errors There are a plethora of commercially available implant systems and designs. Qualitative and quantitative nature of the available bone should be careful

SOMATOFORM DISORDERS: The term 'Neurosis'  was first introduced in 1769 by William Cullen (1710-  1790). Till later part of nineteenth century, anxiety disorders were conspicu

There are two distinct methods through that cells synthesize ATP.  In  oxidative phosphorylation which containing  the electron transport  chain and the generation  of ATP is linke

Q. What is Acute Aortic Regurgitation? Infective endocarditis, aortic dissection and trauma often produce severe AR. Acute increase in left ventricular end diastolic volume es

Observing root hairs Study the root hairs with a hand lens and view how they are constructed.

What is androgenesis

Q. What is Cholesterol? In its free, unesterified form cholesterol is a major component (together with phospolipid) of cell membranes. Its presence helps to stabilize membrane

Neural process occurring in the recovery from brain injury The neural process occurring in the recovery from brain injury are thought to be similar to the processes involved in