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duodenal atresia in down!ccs - stefan78

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duodenal atresia in down!ccs - stefan78
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#1
11-30-2008, 11:03 AM
child with vomiting of feeds,not reaching developmental milestones!!

hypotensive!

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#2
11-30-2008, 11:12 AM
anybody?
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#3
11-30-2008, 11:28 AM
GE
skin
HEENT
ABDOMEN
REctal
Genital
cvs

Pulse oxymetry
iva
ng tube
npo
cbc
bmp
Abdo xray
abdo usg


Abdo xray and usg; reveals narrowing and distal loops of bowel

location:admit to ward

order; pediatric surgery consult
npo
urine output
ng tube suction
vitals every 4 hr

then?I just started step3 preparation,good case stefan78.Is it from uw?
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#4
11-30-2008, 11:36 AM
its an exam case!
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#5
11-30-2008, 11:38 AM
ok,do u know how the case ended?only consultation and then? do we need to do anything more?
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#6
11-30-2008, 11:45 AM
nope i don`t know how the case ended!!

u forgot to add NSS.9%

there are many recommendation for down!!

will write later,waiting for input from step3 friends!
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#7
11-30-2008, 11:47 AM
yes,patient must be dehydrated,an d npo.so NS.
thx.
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#8
11-30-2008, 11:50 AM
http://www.usmleforum.com/showthread.php?tid=352204

same ccs ...done by jayhind
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#9
11-30-2008, 11:53 AM
thx pindi. for kind help.
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#10
11-30-2008, 11:54 AM
thx dr pindi,can u try the other case also of gerd!
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