Necrotizing enterocolitis: Difference between revisions
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#Amp/gent/clinda x 48 hrs | #Amp/gent/clinda x 48 hrs | ||
#Surgery consult | #Surgery consult | ||
==See Also== | |||
[[Abdominal Pain (Peds)]] | |||
==Source== | ==Source== | ||
Revision as of 05:35, 21 November 2011
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
- Pneumotosis is hallmark
- Get KUB and left lat decubital
DDx
- Sepsis
- pneumonia
- malro/volvulus
- intuss
- feeding intolerance (exclusion)
Treatment
- NPO
- Aggressive IV hydration
- Amp/gent/clinda x 48 hrs
- Surgery consult
See Also
Source
Tintinalli