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.