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Metabolic acidosis
- caused by diarrhea
- child breathes rapidly to 'blow off' CO2
-
Metabolic alkalosis
- caused by vomiting
- child will breathe slowly, shallowly
-
Intussusception
- the invagination of one portion of the intestine into another, a surgical emergency
- 6-12 mo
- draw up legs and cry in severe pain, then symptom free for 15 minutes, repeats
- bile in vomit, blood in stool and maybe vomit
- currant jelly appearance
-
Necrotizing enterocolitis
- the bowel develops necrotic patches (d/t ischemia)
- paralytic ilius, perforation, or peritonitis may occur
- abdomen becomes distended and tense
- treat surgically
-
Celiac disease
- sensitivity to protein, especially gluten found in grains (wheat, rye, oats, and barley)
- develop steatorrhea (bulky, fatty stools), malnutrition, distended abdomen
- any type of infection is a crisis
-
Hirschsprung's Disease
(aganlionic megacolon)
- nerve cells in the lower portion of the sigmoid colon are absent
- no peristalic waves
- chronic constipation, yet no stool in rectum
- surgical intervention to repair
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