The test tasks

1. What volume of stomach has child in age 12 months?

1. 80-100 ml.

2. 300 ml

3. 500 ml.

4. 800 ml.

5. 700 ml.

1. Correlation between length of the intestine and length of body in new-born:

1. 2:1

2. 5,4:1

3. 1:1

4. 8,3:1

5. 3:1

3. A liver can be palpated 1-2 cm lower the edge of costal arc in children of:

   1. 1-2 years

   2. 10 years

   3. 5-7 years

   4. 2-3 years

   5. 12 years

4. What features of processes of intestine absorption in the children of early age a thin department to the?

   1. water, vitamins, minerals are absorbed only

   2. the negligible quantity of salt, water, glucose are absorbed

   3. vitamins and glucose are absorbed

   4. the products of hydrolysis of proteins, fats, carbohydrates are absorbed

   5. water and minerals are absorbed only

5. What features of mycroflora of colon in new-born?

   1. Esherihia coli prevails

   2. Enterococci prevails

   3. Lactobacteria prevails

   4. Mycotic flora prevails

   5. Bifidumflora prevails

Situation clinical tasks

1. 1 month child old periodically after feeding has regurgitation by little volume of meal. He is on the breast feeding. Mass of body acquired 650 g for the first month. What are possible reasons of regurgitation? What measures are needed for prevention of regurgitation in this child?

2. Mother of 3 months child has complaints of on the diarrhea in child 6 times per day. Excrements is yellow with the negligible quantity of mucus and white lumps. It is known from anamnesis, that a mother independently begins the artificial feeding of a child by “Similac” formula for 165 ml every 3 hours. What disease can be suspected? What reasons of development of pathology?

3. A 14 years child is disturbed by nausea, repeated vomits, liquid stool 5-6 times per day, abdominal pain and headache. At inspection: tongue is thickly covered by the white coat, rumbling of intestine appears during palpation of abdomen, sigmoid is spastic and painful at palpation, a liver and spleen is not enlarged. Stool is watered, with some mucus and blood. What pathological syndrome takes place in child?

Standards of answers

1. Anatomic and physiologic features, insufficient development of cardiac sphincter of stomach, aerophagia. Duration of feeding should be not more than 20 minutes, after feeding it is necessary keep a child in vertical position about 5-7 minutes, for air can go out from a stomach.

2. A child has the simple dyspepsia conditioned by sudden transition on the artificial feeding.

3. Gastroenterocolitic syndrome caused by an infectious factor (dysentery).

Hardwares and material providing of training:

1. Tables:

1. “Volume of stomach in children of different age”;

2. “Sizes of liver by Kurlov”;

3. ”Symptoms of holecystitis in children”.

2. Schemes:

1. “Distributing of stomach on areas”;

2. “Pain areas and points of pancreas”;

3. “Anatomy of stomach and gullet”;

4. “Anatomic structure of the intestine”.

3. Methodical developments:

“Method of clinical examination of child”

Information sources.

А) Basic:

1. Kapitan T. Propedeutics of children’s diseases and nursing of the child. – Vinnitsa, 2006. – P. 274-346

B) Additional:

1. Мазурин А.В., Воронцов И.М. Пропедевтика детских болезней. С-Petersburg, 2001 – С.482-536.

Program of self-preparation of students to the theme

1. To learn the theoretical questions (see the list of information sources)

2. To be able to conduct inquire and objective examination of sick child with the defeat of organs of digestion, interpret information of additional methods of examination

3. To pay attention to the anatomic and physiologic features of organs of digestion in children and features of current of diseases of gastrointestinal tract in children's age.