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Pediatrics
Question | Answer |
---|---|
What tests should be run in infants with suspected sepsis? | 1. blood cultures 2. lumbar puncture (infants rarely present with classic neck stiffness or Kernig's) |
What causes breast milk jaundice? | factor in human breast milk results in ↑ intestinal absorption of bilirubin |
1. What is the clinical suspicion when an infant has excessive salivation shortly after birth. 2. What is the workup | 1. esophageal atresia 2. pass a small NG tube and take X-Ray |
What are the VACTER anomalies? | 1. Vertebral 2. Anal 3. Cardiac 4. Tracheal 5. Esophageal 6. Radial |
Which 3 congenital conditions result in the double-bubble sign on x-ray? | 1. duodenal atresia 2. malrotation 3. annular pancreas |
Double-bubble with a little normal gas pattern beyond the obstruction. | malrotation |
1. Patient with bilious vomiting and multiple air-fluid levels throughout the abdomen. No double bubble. 2. What is the cause of this abnormality? | 1. intestinal atresia 2. vascular accident in utero |
Feeding intolerance, abdominal distention and rapidly dropping platelet count. | necrotizing enterocolitis |
1. Meconium ileus is most commonly seen in conjunction with what disease? 2. What is the diagnosis? 3. What is the treatment? | 1. cystic fibrosis 2. gastrografin enema 3. gastrografin enema |
1. Colicky abdominal pain with bloody stools in an infant. 2. Management | 1. intussusception 2. barium enema is diagnostic and therapeutic |
How do you confirm suspected malrotation? | contrast enema |
8 week old with progressively increasing jaundice with elevated conjugated bilirubin. Serology is negative for hepatitis and normal sweat test. Further workup? | HIDA scan after 1 week of phenobarbital |