Comments on: Ped Quiz. http://www.drknp.com/discussion/ped-quiz Complete source of medicine Wed, 04 Jan 2012 14:30:57 +0000 hourly 1 http://wordpress.org/?v=3.3.1 By: admin http://www.drknp.com/discussion/ped-quiz/comment-page-1#comment-132 admin Wed, 06 Jan 2010 13:15:15 +0000 http://www.drknp.com/?p=443#comment-132 thank you m_k_s thank you m_k_s

]]> By: m_k_s http://www.drknp.com/discussion/ped-quiz/comment-page-1#comment-131 m_k_s Wed, 06 Jan 2010 10:52:29 +0000 http://www.drknp.com/?p=443#comment-131 Your 1st answer is correct. The main aim of the treatment is to supply enough calories to maintain normal growth. The patient will experience poor digestion of fat and protein as a result of the deficiency of pancreatic function. The pancreatic enzyme replacement will correct those deficiencies. Yes, you are absolutely right. Sepsis is the typical complication. The usual pathogen isolated is CONS. Small intestinal mucosal atrophy is reversed with oral feedings. Concerning Diarrhea: children with short gut syndrome tend to have chronic diarrhea but TPN is not the direct cause. I would like to add more about the complications: thrombosis, extravasation, cholestatic jaundice (about 1/3 develop jaundice after 2 wks of TPN), hypoglycemia, hyperglycemia, overfeeding, hyperlipidemia and osteopenia. Your 1st answer is correct. The main aim of the treatment is to supply enough calories to maintain normal growth. The patient will experience poor digestion of fat and protein as a result of the deficiency of pancreatic function. The pancreatic enzyme replacement will correct those deficiencies.

Yes, you are absolutely right. Sepsis is the typical complication. The usual pathogen isolated is CONS. Small intestinal mucosal atrophy is reversed with oral feedings. Concerning Diarrhea: children with short gut syndrome tend to have chronic diarrhea but TPN is not the direct cause. I would like to add more about the complications: thrombosis, extravasation, cholestatic jaundice (about 1/3 develop jaundice after 2 wks of TPN), hypoglycemia, hyperglycemia, overfeeding, hyperlipidemia and osteopenia.

]]> By: admin http://www.drknp.com/discussion/ped-quiz/comment-page-1#comment-129 admin Tue, 05 Jan 2010 15:37:28 +0000 http://www.drknp.com/?p=443#comment-129 Thank you M_K_S for your question I think, the correct answer for the 1st one is pancreatic enzyme replacement because the baby is suffering form cystic fibrosis. and the answer for 2nd one is ,a sepsis because TPN is given through center vein. Thank you M_K_S for your question
I think,
the correct answer for the 1st one is pancreatic enzyme replacement because the baby is suffering form cystic fibrosis.
and the answer for 2nd one is ,a sepsis because TPN is given through center vein.

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