Necrotizing enterocolitis: Difference between revisions
m (Rossdonaldson1 moved page Necrotizing Enterocolitis (NEC) to Necrotizing enterocolitis) |
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==Background== | ==Background== | ||
*Abreviation: NEC | |||
*Intestinal necrosis in previously well infant | *Intestinal necrosis in previously well infant | ||
*Predominantly affects preemies; 10-15% occurs in full-term pts | *Predominantly affects preemies; 10-15% occurs in full-term pts | ||
Revision as of 20:32, 25 March 2015
Background
- Abreviation: NEC
- Intestinal necrosis in previously well infant
- Predominantly affects preemies; 10-15% occurs in full-term pts
Diagnosis
- Poor feeding, lethargy, abd distention/tenderness
- Sepsis, pneumoperitoneum
- Stool is +/- heme +
Work-Up
Labs
- CBC
- Chem
- Sepsis evaluation
Imaging
- Cross-table lateral
- Pneumatosis intestinalis, pneumobilia, pneumoperitoneum,
Radiography
- Pneumatosis is hallmark
- Get KUB and left lat decubital
Differential Diagnosis
Pediatric Abdominal Pain
0–3 Months Old
- Emergent
- Nonemergent
3 mo–3 y old
- Emergent
- Nonemergent
3 y old–adolescence
- Emergent
- Nonemergent
Treatment
- NPO
- Aggressive IV hydration
- Amp/gent/clinda x 48 hrs
- Surgery consult
See Also
Source
Tintinalli