Pancreatitis and Ingestion Injury in Children: Board Questions

What this deck covers

Pancreatitis and Ingestion Injury in 18 board-style clinical cases with worked explanations. Each case gives you a clinical vignette, four options, the correct answer, and an explanation of why each of the other three is wrong, with the guideline or textbook it follows named on the answer.

Board-style teaching questions for paediatricians and trainees preparing for board, MRCPCH and Prometric examinations. Written from published guidelines and standard paediatric textbooks, with the source named on every answer.

The 18 cases, in order

1. Sitting forward and refusing to lie down
2. Four days after the climbing frame
3. The drug that made him sick
4. Which scan comes first
5. The first twenty-four hours
6. He is hungry and the number is not
7. Worse on day three
8. A lump five weeks later
9. Better, then much worse
10. Two attacks and a bag of stones
11. The sample that looked like milk
12. Four attacks and a family tree
13. Three times in eighteen months
14. A shrunken, calcified gland
15. A coin that has reached the stomach
16. Three little balls from a desk toy
17. What the parents must not do
18. A pin that has not moved

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: Acute pancreatitis, Blunt abdominal trauma, An abdominal ultrasound scan, The unchanged pain, Infection of the necrotic tissue, Removal of the gallbladder, Alcohol, An anatomical variant in, Refer immediately for endoscopic or surgical removal, Endoscopic removal.

Clinical pearls from this deck

• A child who sits forward and will not lie flat is telling you the organ is behind the stomach.
• Ask about a blow to the abdomen in the previous week. Families do not connect the two.
• Read the whole drug chart. In an already sick child the cause is often on it.
• Shoulder tip pain with a raised bilirubin in a first attack means look for stones today.
• Fluid, analgesia and food. Everything you might instinctively withhold is what helps.
• Waiting for the enzyme to normalise before feeding is the commonest outdated instruction on the ward.

Work through the deck once for recognition, then again a week later to test yourself — each question gives the answer and explains why every other option fails.

More from this system: all Gastroenterology Board Questions case decks · pediatric reference values.