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Pediatrics

QuestionAnswer
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