Necrotizing enterocolitis: Difference between revisions
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===Radiography===
===Radiography===
*Pneumotosis is hallmark
*Pneumatosis is hallmark
**Get KUB and left lat decubital
**Get KUB and left lat decubital


Revision as of 17:10, 3 October 2013

Background

  • 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

DDx

  1. Sepsis
  2. pneumonia
  3. malro/volvulus
  4. intuss
  5. feeding intolerance (exclusion)

Treatment

  1. NPO
  2. Aggressive IV hydration
  3. Amp/gent/clinda x 48 hrs
  4. Surgery consult

See Also

Abdominal Pain (Peds)

Source

Tintinalli

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