robin082006
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A 2-week-old male infant, of an African-American female, is brought to the office with complaints of fever and vomiting for the past 2 days. This baby was born at 32 weeks' gestation and weighed 2.7kg(6lb) at birth. He is being breast-fed and has appeared normal until 2 days ago. On examination, the infant is ill-looking, lethargic, febrile, and his abdomen is distended with absent bowel sounds. Guaiac positive stools are noted. An abdominal roentgenogram demonstrates pneumatosis intestinalis. Which of the following is the most likely diagnosis?
A. Intestinal obstruction
B. Malrotation
C. Meconium ileus
D. Necrotizing enterocolitis
E. Intestinal perforation
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| sarika
Forum Guru
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D. Necrotizing enterocolitis
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| prathapdoctor
Forum Elite
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its a classic presentation of Necrotizing enterocolitis.
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