Wednesday, August 12, 2015

Medical or surgical?

2 week old male infant presents with vomit which is non-bilious and no stool for 7days. His primary care doctor switched regular formula to lactose-free formula.  He has lost some weight and takes about 2 to 2.5 ounces every 2-3hours. Parents have diligently burp and keep upright as instructed, though he don't all the time.

His Abdominal x-ray below: (small barium in the rectum from previous upper GI series done by primary care, which was normal)

 


Name a condition to rule out that is done in newborn state screen.


What is a very sensitive question you will ask the mother about the baby in the immediate postnatal period?

Name a diagnosis if mother mentions small blood in stool, stool guaiac positive and no anal fissure.
 

Sunday, March 1, 2015

Catch it in the scan

9 year old girl with abdominal pain and fever


Name the non - E.coli pathogens associated with above.

Mention at least three broad aspects of management of this child.

http://dx.doi.org/10.1097/01.ju.0000179537.36472.59

Friday, January 23, 2015

Eye popping


5 year old previous healthy Caucasian boy presents with left eye pain, fever and redness. He is diagnosed with left eye orbital cellulitis. CT Scan with contrast of his orbit is shown.