18. The vomiting infant

Question 1

Oesophageal atresia characteristic:

Answer 1

Excessive secretions, choking and difficulty breathing, inability to feed.
May be history of antenatal polyhydramnios.

Question 2

Malrotation:

Answer 2

Midgut remains unfixed and suspended on a narrow-based mesentery. May lead to volvulus and and acute strangulation obstruction.

Question 3

Infantile hypertrophic pyloric stenosis:

Answer 3

Projectile vomiting, dehydrated, weight loss, constipation, worsening jaundice  Metabolic alkalosis.

Question 4

Intussusception:

Answer 4

URTI and D+V, red currant jelly stools, oedomatous peyer’s patches and enlarged lymph nodes.