Q#22...............keep it up guys.... - drtaher

[ArchivalUser]

A neonate develops bile-stained vomiting and progressive abdominal distention, and does not pass
meconium over the first two days of life. The anus is patent, and the bowel loops are palpable.
Plain radiograph shows bubbly meconium in the right lower quadrant. No localized areas of
constriction or other abnormalities are noted. Which of the following is most likely
etiologically related to this infant's condition?
A. Cystic fibrosis
B. Hirschsprung's disease
C. Meckel's diverticulum
D. Omphalocele
E. Polycystic kidney disease

[ArchivalUser]

A..

[ArchivalUser]

CCC ?

[ArchivalUser]

bbbbbbbb

[ArchivalUser]

bbbbbb

[ArchivalUser]

a...

[ArchivalUser]

A?

[ArchivalUser]

hhi

[ArchivalUser]

guys the exact answer is b cuase these group pt never pass stool in frist 48 hr..............but in case of cf nat as early like this ...............in mekels..it is more of lower gi bleeding

[ArchivalUser]

answer is a CYSTIC FIBROSIS
AS HIRSCHSPRUNGS DISEASE ALWAYS INVOLVES RECTUM AND IN THE QUESTION THEIR IS NO CONSTRICTION INVOLVED (big clue)
WE SEE THAT CYSTIC FIBROSIS LEADS TO MECONIUM ILEUS(as given here patient does not pass stool) ???tip off for meconium ileus , WHICH MAY LEAD TO PERITONITIS AND calcification (BUBBLY MECONIUM SEEN AS on x ray )