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10 month boy with vomiting +lethargy and difficult to arouse +bloody stool and blood in rectal vault + hypotensive. and wht to do diagnose and wht is the diagnosis.




severe dehydrated, should rule out intussusception n enterocolitis. serum electrolytes,stools culture, x-ray and ct will be choice of tests. but the complete options n answer is what i'm waiting for smiling face

On Jun 19, 2011 - 6:00 PM, eena responded:
intussusception will have abdominal pain cramping ad colicky
enterocolitis will have abd distension+ premature baby+ vomitinf with first feeds.

here infant has vomiting + difficult to arouse+lethargy .

Is it sepsis caused by GI problem .....can not do LP becos of vomiting so
next step is CT scan.

(the answer key for nbme shows CT )

let me know if I am correct.

Edited by dryogi on Jun 19, 2011 - 9:29 AM


I lost the exact que .......I will send I will find .


vomiting with first feed, i think , is classic for duodenal atresia. ya, if found complete question then plz do share. thnx

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