Gastrointestinal
What is the most common cause for neonatal vomiting?
GERD
The combination of subdural hematoma, bilateral retinal hemorrhage seen in a baby that came in with altered mental status should prompt what?
Contact CPS
What electrolyte abnormality becomes concerning in a mom who keeps feeding her baby water to make up for loss with diarrhea?
Hyponatremia
CSF Results:
Glucose ↓, Protein ↑, Neutrophil predominant
Bacterial Meningitis
Upper GI Series is to Malrotation as ______ is to Zencker Diverticulum
Neonate comes in with signs of eczema, failure to gain weight, and bloody diarrhea? What is the most likely diagnosis?
Milk-protein allergy
The presence of a focal neurologic deficit and signs of increased intracranial pressure should prompt you for what next diagnostic step?
Non-contrast CT of the head
A newborn female is born with clitoromegaly, hyponatremia, hyperkalemia, and hypotension
Congenital Adrenal Hyperplasia
What is one of the most common causes of vomiting in the childhood and adolescent period?
Viral gastroenteritis
A microcolon is visualized on contrast enema for a baby with vomiting. Upon further evaluation what genetic mutation is most likely to be expected?
∆F508
A proximal dilation is seen on a contrast enema for a baby with failure to pass meconium. What is the best next step in confirming the diagnosis?
Rectal suction biopsy.
What is the most common cause of intracranial hemorrhage in kids?
AVM
Baby comes into the office with persistent vomiting, failure to gain weight. Labs significant for medium chain dicarboxylic acids and hypoglycemia. What is going on?
MCAD deficiency
What is the most common cause of sepsis in the first month of life?
GBS
In a baby born with immediate spitting upon feeding and polyhydramnios on prenatal ultrasound. What is the best diagnostic step?
Failure to pass NG tube into stomach
What is the best next step in preparing for surgery for a patient that has come in with projectile non-bilious vomiting?
Order electrolytes, replete
Mom comes into the office due to her baby being less responsive and having new-onset vomiting. On physical exam, the baby's eyes are looking inferiorly and there is lid retraction. What is the most likely diagnosis?
Hydrocephalus
What is the reason for cataracts in galactosemia?
Galactose reduced via aldose reductase to galactitol. Sorbitol dehydrogenase cannot break it down and it accumulates.
Reheated Rice & Vomiting. What micro-organism?
1. Bacillus Cereus
A teenager comes in with abdominal pain persisting about a year with some nausea/vomiting that wax and wane. Upon further questioning the patient shares that the pain gets better with a warm shower. What is this pathognomonic for?
Cannabinoid Hyperemesis Syndrome