Professional Documents
Culture Documents
Genetic Traits
Viruses
Drug
Radiation
Surgery Related Differences between Young
Children and Adults
Observable defects.
Complications associated with cleft lip
and cleft palate
Feeding difficulties
Ear infections and hearing loss
Speech and language delay
Dental problems
Feeding baby with cleft palate
Breast-feeding is allowed. It will take extra time
and patience.
Hold an infant in an upright position to help
keep the food from coming out of the nose.
Small, frequent feedings are recommended.
There are many types of bottles and nipples that
can assist with feeding an infant with cleft
palate.
–NUK nipple
This nipple can be placed on regular bottles or
on bottles with disposable bags. The hole can
be made larger by making a criss-cross cut in
the middle.
Mead Johnson Nurser®
This is a soft, plastic bottle that is easy to
squeeze and has a large crosscut nipple.
Haberman Feeder®
This is a specially designed bottle system with a
valve to help control the air the baby drinks and
to prevent milk from going back into the bottle.
Neonatal Respiratory
Distress
It is congenital
malformation represent
a failure of the
esophagus to develop
a continuous passage.
These defects may
occur separately or in
combination.
Definition
Oesophageal atresia is defined: as an
interruption in the continuity of the
esophagus with or without fistula to the
trachea.
Tracheoesophageal Fistula is defined
as abnormal fistulous communication
between the trachea and the esophagus
with Atresia of the esophagus singly or in
combination.
Etiology:
Unknown.
Types:
Oesophageal
Atresia with a distal
tracheo-
oesophageal fistula
Oesophageal
Atresia with a
proximal fistula
Oesophageal Atresia: (con‘t)
Oesophageal atresia
combined with fistulae
from both
oesophageal
segments
Isolated Oesophageal
Atresia without a
fistula
V = Vertebral anomalies
A = Anal anomalies
TE = Tracheoesophageal Fistula
R = Renal deformaties
Three Cs of TEF on feeding:
• Coughing.
• Choking.
• Cyanosis.
• and, regurgitation
Prematurity and polyhydramnios are
common association.
Excessive salivation and drooling
Apnea.
Increased respiratory distress following
feeding.
Abdominal distention.
Regurgitation of saliva and milk from
the obstructed upper pouch into the
trachea.
Reflux of acidic content through the
fistula into the lung leading to
pneumoniatis.
Gastric distention by air from trachea
leading to diaphragmatic elevation.
Insertion of catheter gently into the
esophagus meets with resistance if the
lumen is blocked but passes unobstructed if
the lumen is patent.
Radiographic visualization of opaque
catheter inserted into the hypopharynx
helps to determine patency and / or
alternate channels.
Endoscopy for isolated fistula.
• Anastmosis Leakage ,Stricture
and recurrent.
• Pleural Pnumothorax and
empyema.
• Dysphagia From disordered
esophageal peristalsis.
Congenital Diaphragmatic Hernia
The cause of CDH is largely
unknown.
CDH can occur as part of a
multiple malformation
syndrome in up to 40% of
infants (cardiovascular,
genitourinary, and
gastrointestinal malformations)
Congenital diaphragmatic hernia
(CDH) is a malformation
characterized by a defect in the
Posterolateral diaphragm,
through which the abdominal
viscera migrate into the chest
during fetal life.
Most common type due to early reduction of
physiological hernia (normal at the 10th week)
before closure of the foramen of Bochdalek by
the pleuroperitoneal membrane at the 8th
week.
• O2 tent
• Frequent change s in position with
pharyngeal aspiration.
• I.V. fluids till effective peristalsis returns.
3.Anomalies
of the
Stomach
and
Duodenum
Hypertrophic Pyloric
Stenosis
Is hypertrophy of the muscle surrounding the
• Constipation.
• Passage of ribbon like, foul smelling stool.
• Abdominal distention.
• Fecal impaction recurs frequently.
• Poor appetite, poor growth
• In neonate: diagnosis is usually based on
clinical signs of intestinal obstruction and
failure to pass meconium.
• On examination, the rectum is empty of
feces, the internal sphincter is tight and
leakage of liquid stool.
• Barium enema and rectal biopsy.
• Non-invasive procedure may be used as
anorectal manometry.
Therapeutic Management:
Treatment is primarily surgical removal of
Aganglionic portions of the bowel in
order to permit normal bowel motility
and establish continence by improved
functioning of the internal anal
sphincter.
Acquired Intestinal Defect
Intussusception
It is an acquired type
of intestinal
obstruction. It is the
invagination or
telescoping of a
segment of intestine
into the segment
immediately distal to
it.
Incidence:
Omphalocele
It is herniation of intestines into the
umbilical cord, i.e., a protrusion, at birth,
of part of intestine through a defect in the
abdominal wall at the umbilicus.
Omphalocele