PE22-Paediatric Surgical Emergencies Paediatric Surgical Emergencies Quiz Score Confirmation of participation I confirm that I have watched this entire presentation. Which of the following is not a mechanism by which a button battery can damage the oesophagus? * Pressure necrosis Electrolysis Thermal injury Leakage Heavy metal toxicity Which of the following is not true regarding the management of impacted oesophageal button batteries in children? * A battery located at or above the clavicles should be referred urgently to the local ENT surgeon If the battery has been ingested < 12 hours previously 10mls of honey should be prescribed every 10 minutes for 60 minutes If the battery has been ingested < 12 hours previously 10mls of sucralfate should be prescribed every 10 minutes for 60 minutes A two-view chest radiograph is recommended A CT scan should be considered if ingestion was > 12 hours previously Which of the following is not true regarding mid-gut volvulus? * 90% will present within the 1st year of life It should be considered in the differential for any child who suddenly collapses Upper GI contrast study is the investigation of choice Abdominal distension is a common finding This is a life-threatening emergency Regarding normal mid-gut rotation, which of the following is true? * The mid-gut rotates around the inferior mesenteric artery The mid-gut undergoes 270 degree clockwise rotation The duodenojejunal flexure (DJF) should lie to the right of the L1 vertebra The mid-gut herniates out through the umbilical defect around 10 weeks gestation and returns around 16 weeks gestation The ligament of Treitz fixes the proximal limit of the jejunum to the left of the midline in the trans-pyloric plane Regarding intussusception, all but one of these are important components of management: * Fluid bolus (may require multiple) Contrast-enhanced CT abdomen IV analgesia Ultrasound-guided saline reduction enema Surgery Section Buttons If you are human, leave this field blank. Submit Δ
