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Kaplan Qbank USMLE



Author9 Posts
  #1

Well??

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___________________
Courage does not always ROAR. Sometimes courage is the quiet voice at the end of the day saying, "I will try again tomorrow" - Mary Anne Radmacher

  #2

is it pyloromyotomy

  #3

Why not Barium enema for intussusecption?


___________________
Courage does not always ROAR. Sometimes courage is the quiet voice at the end of the day saying, "I will try again tomorrow" - Mary Anne Radmacher

  #4

its not intusseption, its pyloric stenosis, remember the catch wordsm vomiting a few days after birth

  #5

yup n' your correct my friend!grin

___________________
Courage does not always ROAR. Sometimes courage is the quiet voice at the end of the day saying, "I will try again tomorrow" - Mary Anne Radmacher

  #6

To compare this to Duodenal Atresia, (because they often try to confuse these two) how would this present?
-Around when after birth would you see the vomiting?
-Would it be bilious or non-bilious?
-Whats the treatment?


___________________
Our greatest glory is not in never falling, but in rising every time we fall.

  #7

immediately at the time of first feed
non-bilious
Call the surgeon?

  #8

-Vomiting AT birth
-BILIOUS vomiting (because the atresia is usually distal to the bile duct vs Plyoric stenosis which is non bilious vomiting because the stenosis is proximal to the bile duct)
-Needs to be corrected.

Also:
Pyloric stenosis (Stenosis is narrowing) is NOT associated with Polyhydramnios, whereas Duodenal atresia (Complete blockage) is associated with Polyhydramnios!


___________________
Our greatest glory is not in never falling, but in rising every time we fall.

  #9

in intussusception, the child usually begins feeding well and then suddenly develops GIT obstruction at around 10th day.







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