04-09-2011, 11:17 AM
You see a 2-month-old infant in the emergency
department for vomiting. The mother says that the
baby has been spitting up more over the past few
days and has become more irritable. She denies any
fever, diarrhea, or change in formula. The mother
tells you that there is a family history of “heartburn”
and that her other children have all spit up. The
infant has some emesis in the emergency department
that seems to be formula mixed with some bile.
The infant is intermittently irritable and sleepy.
22. What is the most concerning diagnosis that this
could be?
(A) biliary atresia
(B) malrotation
© pyloric stenosis
(D) imperforate anus
(E) diaphragmatic hernia
23. Which of the following would be the most
appropriate initial test?
(A) abdominal computed tomography (CT)
(B) barium enema
© abdominal ultrasound
(D) UGI series with small bowel follow
through
(E) radionuclide scan
I choose B and C...What do you guys think?
department for vomiting. The mother says that the
baby has been spitting up more over the past few
days and has become more irritable. She denies any
fever, diarrhea, or change in formula. The mother
tells you that there is a family history of “heartburn”
and that her other children have all spit up. The
infant has some emesis in the emergency department
that seems to be formula mixed with some bile.
The infant is intermittently irritable and sleepy.
22. What is the most concerning diagnosis that this
could be?
(A) biliary atresia
(B) malrotation
© pyloric stenosis
(D) imperforate anus
(E) diaphragmatic hernia
23. Which of the following would be the most
appropriate initial test?
(A) abdominal computed tomography (CT)
(B) barium enema
© abdominal ultrasound
(D) UGI series with small bowel follow
through
(E) radionuclide scan
I choose B and C...What do you guys think?