CROHN

DI SEASE
Skin tags
fissures
perianal disease common
Older children present with
growth failure,
diarrhoea,anaemia and
abdominal pain
1
I MPERFORAT
E ANUS
rule out urinary tract
abnormalities
RECTAL
PROLAPSE
Cystic fibrosis
malnutrition
Chronic diarrhoea
Spina bifida
ACRODERMATI TI
S
ENTEROPATHI CA
AR
Weaning from breast to cow
milk
perianal and perioral
areas,hands feet and face
Eczematous eruption
other features include chronic
diarrhoea and hair loss
5
MI CROPENI S
often buried in fat
true is below 2.5 SD below
mean length for age
Hypothalamic/pituitary
disorders eg prader willi
syndrome
testicular disorders eg kline
fleter syndrome
SCROTAL
HEMATOMA
Trauma
Haemophilia
CONGENI TAL
ADRENAL
HYPERPLASI A
Commonest cause of
female
pseudohermaphodism
CONGENI TAL
ADRENAL
HYPERPLASI A
boys who are not salt
losers escape detection in
1st two weeks
present later with increased
virilisation
penile enlargement but
testes small
HYPOSPADI A
S
Bifid Scrotum
Extends to the base of
penis
HYPOSPADI A
S
urethral meatus on ventral
surface beneath the glans
Chordee(ventral)
with cryptorchidism
=ambitious genitalia
HYDROCELES
Transilluminate and does
not refuse
Distinguished from hernia
and testicular torsion
resolves spontaneously
LABI AL
ADHESI ON
under 5 years of age
asymptomatic or
associated with UTI or
local inflammation
Oestrogen cream
ECTOPI A
VESI CAE
more common in boys who
have epispadias
girls have duplication of
clitoris and wide separation
of labia
VULVAL TAGS
normal variant
PSOAS
ABSCESS
large swelling in inguinal
region and upper thigh
presents with fever, hip
pain and limp
Crohn disease,
osteomyelitis of spine,
retroperitoneal appendicitis
I NGUI NAL
HERNI A
reducible swelling in the
groin
usually apparent on crying
usually male
prematurity , ascites and
chronic respiratory distress
urgent surgery
LEUCOCYTE
ADHESI ON
DEFECT
Delayed umbilical cord
separation and umbilical
infection
persistent leucocytosis and
severe bacterial infection
Deficiency of CD 11/CD 18
URACHAL
CYST
results from closed urachus
from above and below
no urinary discharge
Excision
PERSI STENT
VI TELLO-
I NTESTI NAL DUCT
persistence of whole duct
=intestinal fistula
persistence at intestinal
end = mecel diverticulum
GASTROSCHI
SI S
normal umbilical cord
small full thickness defect
in the anterior abdominal
wall
no sac and fluid loss can
be significant
EXOMPHALOS
large sac with wide base
abdominal contents
covered by peritoneum
presence of other
congenital abnormalities
DI VERCATI ON
OF RECTI
common harmless anomaly
in neonates
UMBI LI CAL
HERNI A
easily reducible swelling
skin covered
in LBW babies
disappear by 1st year of life
strangulation rare
THALLESEMI A
brown discolouration due to
chelation
absence suggests poor
compliance with treatment
BI LLI ARY
ATRESI A

OBSTRUCTI VE
J AUNI CE

HEPATOSPLE
NOMEGALY
Gaucher
Neiman pick
wolman
NEPHROTI C
SYNDROME
2-5 years
usually minimal change
dont remove ascites
PRUNE BELLY
SYNDROME
boys
undecended testis
urinary tract abnormalities
muscular and
cardiovascular
abnormalities
PYLORI C
STENOSI S