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Gastrointestinal
Vomiting and abdominal distension in the neonate
| Question | Answer |
|---|---|
| True or False? spitting and regurgitation of small quantities is normal in the newborn? | True |
| True or False? It is normal for a baby to vomit forcefully or vomit entire feeds? | False |
| If a baby began vomiting after day 1, stops feeding, looks ill, has abdominal distension, breathing difficulty, abnormal temperature and is irritable or lethargic...what would be your differential diagnosis? | Sepsis |
| If a baby began vomiting blood or bile stained vomit, had blood or mucous in its stool, pallor, looks ill, is floppy and lethargic and poor or very little feeding...what would be your differential diagnosis? | Necrotising enterocolitus |
| The baby has not passed meconium for > 24 hours, is coughing or choking with every feed, a gastric tube does not pass, has increasing abdominal distention, bile stained vomit and or dark or bloody stools...what would be your differential diagnosis? | Gastrointestinal malformation such as oesophageal or tracheal fistula or atresia, or lower gastrointestinal malformation such as duodenal atresia |
| If the baby is vomiting blood stained vomit, has dark stools but is otherwise well and there is a historoy of maternal bleeding during labour or breastfeeding on cracked nipples...what is your differential diagnosis? | Baby swallowed maternal blood |
| If you try to pass a nasogastric tube and it does not pass or comes back out...what is your differential diagnosis? | tracheo-oesophageal fistula |
Created by:
becs89
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