umbilical lesions

A 12 hour old baby has not urinated over 12 hrs. The nursing team noted swelling below the umbilical clamp and removed the clamp. You were called to look at the umbilicus. What is the best next step in management of this patient? a Laparoscopy b Ultrasound c Umbilical exploration d Function excretion of NA (FeNa) e Fluid bolus

[size=20px]A 5-year-old child is undergoing umbilical hernia repair. Which of the following would you expect to be most successful in limiting perioperative opioid administration? A Transversus abdominus plane block prior to the incision B Rectus sheath block prior to the incision C Rectus sheath block at the end of the operation D Local wound administration at the end of the operation[/size]

[size=20px]A 4-year-old child is undergoing umbilical hernia repair. Which of the following would you expect to be most successful in limiting perioperative opioid administration? A Rectus sheath block prior to the incision B Transversus abdominus plane block prior to the incision C Rectus sheath block at the end of the operation D Local wound administration at the end of the operation [/size]

[center] Umbilical Hernia Repair in Children. (Anatomical Repair). Hidden incision. Dr Tamer Ashraf Wafa see in next post [/center]

A 14-year old boy presents with 2 days of peri-umbilical pain. Exam shows an inflamed umbilicus and peri-umbilical cellulitis. US shows a sub-umbilical fluid collection and a tubular structure extending to the bladder. How will you treat him?

[size=20px]A pediatrician sees an otherwise well six-week old former term baby for drainage from the umbilicus. On exam there is an eight mm diameter mound of pink tissue with no active drainage. He prescribes silver nitrate for the lesion, orders an ultrasound and refers the baby to see a pediatric surgeon. After silver nitrate application the lesion has regressed and only a scab remains. There has been no drainage for a week. The ultrasound reveals a three to six mm hypoechoic tract extending from the bladder to the umbilicus. The abdominal exam is normal except for the scab at the umbilicus. There is no sinus tract. The best next step in management for this asymptom…

[size=20px]A primary care physician refers a 3-week newborn with delayed separation of the cord to see you. Which has been associated with delayed cord separation? A Term delivery B Leukocyte Adhesion Deficiency 1 C Vaginal delivery D Severe Combined Immune Deficiency E Dry umbilical care[/size]

[color=#3300ff]See video link in second post [/color]

[size=20px]A three month old baby is referred from their pediatrician with persistent drainage from the umbilicus despite silver nitrate cauterizations. The most common cause of a "wet umbilicus" in the neonate is A omphalomesenteric duct remnant B patent urachus C umbilical granuloma D urachal sinus E ectopic mucosa[/size]

see video link in second post

Any one want a complete & high quality PDF of this chart, post in this thread and use a personalized picture as an avatar, I will send it to you in a private message Edit: Available without restrictions

A two month old term female has an umbilical lesion. There is a history of spotting on her clothing that has resolved with the use of silver nitrate. The abdominal exam is normal except for a small scabbed area in her umbilicus and attempted probing does not reveal a sinus tract. The ultrasound ordered by the pediatrician reveals a 3 to 6 mm hypoechoic tract at the bladder extending to the umbilicus. The best next step in management is [size=20px]A repeat abdominal ultrasound in six months B voiding cystourethrogram C repeat silver nitrate treatment D laparoscopic or open excision of the tract alone E laparoscopic or open excision of the tract with a cu…

First one with correct answer with justification win. [size=20px]A newborn boy has urine draining from the umbilicus. After physical exam there is a clinical diagnosis of a patent urachus that is confirmed by ultrasound. Which of the following untreated associated anomalies is a contraindication to early surgical closure of a patent urachus? A anorectal malformation with rectourethral fistula B horseshoe kidney C myelomeningocele D posterior urethral valves E vesicoureteral reflux[/size]

Download chapter from next post I adopt this simple classification of the OMD anomalies, according to the diagram: • Meckel’s diverticulum • Patent vitellointestinal duct • Vitellointestinal sinus • Vitellointestinal cyst • Vitellointestinal mucosal polyp • Vitellointestinal fibrous band • Intestinal prolapse • Appendico-umbilical fistula www.springer.com/gp/book/9783319623825

First one with correct answer win. what is the name of this condition ?