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@ancaacg: #resumen2025
Angelaanca g
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Tuesday 30 December 2025 19:46:07 GMT
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Tracheoesophageal Fistula (TEF) and Esophageal Atresia (EA) are critical congenital anomalies arising from failed foregut separation during embryonic development. Type C remains the most prevalent variant, characterized by a proximal blind pouch and a distal fistula. This anatomical disruption triggers immediate clinical red flags after birth, including excessive salivation, "the three Cs" (coughing, choking, cyanosis), and respiratory distress. Pathophysiologically, these defects allow air to enter the stomach causing abdominal distension while food or secretions are diverted into the lungs, leading to life-threatening aspiration pneumonia. Diagnosis is often confirmed via X-ray by observing a coiled nasogastric tube in the upper pouch. Management is multidisciplinary, shifting from strict preoperative "nothing by mouth" (NPO) status and continuous suctioning to definitive surgical ligation and anastomosis. Postoperative nursing focuses on maintaining airway patency, gradual enteral feeding, and monitoring for complications like anastomotic leaks or esophageal strictures. Many cases are associated with VACTERL syndrome, requiring comprehensive screening for vertebral, cardiac, and renal anomalies to ensure holistic neonatal stabilization. #study #nursing #nursingnotes #student #medstudentsarah
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