Category Archives: Reference

Empyema – Thrombolytic Therapy

Use TPA 4mg in 40ml of NS, instill via chest tube and leave in for 30 min. Patient may need fentanyl for pain. Roll the patient into different positions to ‘coat’ the pleural space. Use once a day for 3 … Continue reading

Posted in Pediatric Surgery, Reference | Comments Off

Tumor risk in disorders of sexual differentiation (DSD)

*From August 2008 SPU Dialogues

Posted in Pediatric Surgery, Reference | Comments Off

Imperforate Anus Bowel Regimen

Senna is used for mild to moderate constipation. The dose for infants and toddlers is usually 2.5 ml po qday or BID, in the form of Fletcher’s Castoria (which has senna). It is generally fairly palatable. For older Children: 2 … Continue reading

Posted in Pediatric Surgery, Reference | Comments Off

Familial Juvenile Polyposis

Juvenile polyposis was formally described in 1964. The polyps are not neoplastic but hamartomatous, and can be solitary or multiple. Diagnostic criteria includes: more than five juvenile polyps of the colorectum OR multiple juvenile polyps throughout the GI tract OR … Continue reading

Posted in Pediatric Surgery, Reference | Comments Off

Liver and Spleen Injury Grading

The American Association for the Surgery of Trauma Organ Injury Severity Scale Spleen grading system is as follows: Grade I 1. Subcapsular hematoma of less than 10% of surface area 2. Capsular tear of less than 1 cm in depth … Continue reading

Posted in Pediatric Surgery, Reference | Comments Off

Bowel Prep

Generally, the bowel prep consists of clear liquids 1-2 days prior to surgery and the following: 1. Rectal exam with disimpaction if necessary. 2. Golytely – Administer the afternoon or evening before the operation. 3. Patients < 40 kg - … Continue reading

Posted in Pediatric Surgery, Reference | Comments Off