Podcast 645: Necrotizing Enterocolitis and More


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By medicalminute and Emergency Medical Minute. Discovered by Player FM and our community — copyright is owned by the publisher, not Player FM, and audio is streamed directly from their servers. Hit the Subscribe button to track updates in Player FM, or paste the feed URL into other podcast apps.

Contributor: Peter Bakes, MD

Educational Pearls:

  • Necrotizing Enterocolitis (NEC)
    • Presents in the first few days of life (often in the NICU) to 3 weeks old
    • Risk factors include prematurity, excess feeding, neonatal sepsis
    • Pneumatosis Intestinalisis on abdominal xray caused by bacterial translocation into the bowel wall
    • Treated with NG tube, bowel rest and surgical resection
  • Other causes of pediatric abdominal pain
    • Malrotation with volvulus
      • Malrotation is caused by failure of intestinal rotation in the 8th-12th week of development
      • Presents with bilious vomiting, which is a surgical emergency in a neonate
      • 90% of cases present in the first year of life, with most of these presenting in the first month
      • Diagnosed with an upper GI series
    • Pyloric Stenosis
      • Typically in males

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