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Paediatric Gastroenterology Dr Jessica Daniel ST8 Paediatrics Slide 2 A huge subject! Vomiting Diarrhoea Constipation Abdominal pain Nutrition Slide 3 Vomiting Infection Gastroenteritis Rotavirus, Norovirus, Bacterial Gastroesophageal Reflux (GOR) Obstruction Pyloric Stenosis Malformations Malrotation, atresias Slide 4 Case Discussion 6wk old baby, born at term, bottle fed 2 week history of increasing vomiting Reduced wet nappies, BNO 2/7 Mild sunken fontanelle, Obs normal. 8mth old baby, term delivery, previously well 3 day history of vomiting and reduced feeding BO 8/day, loose stool with reduced wet nappies Mild sunken fontanelle, tachycardia A B Palpable epigastric mass, visible peristalsis pH 7.5, pCO2 4.5, BE +2 K 2.9, Cl 99, Examination unremarkable, mild fever pH 7.29, pCO2 4.9, BE -5 Na 148, K 3.5, Ur 10, Cr 30 Slide 5 Gastroenteritis 10% of children