Acute Abdomen

Question 1

A 2 week baby girl presents with a swelling in the left groin. It is a little tender.

WHICH ONE of the following is the MOST LIKELY diagnosis?

Question 1Select one:

a.
Osteomyelitis

b.
Inguinal hernia

c.
Lymphadenitis

d.
Synovial cyst

Answer 1

Inguinal hernia

Indirect

Question 2

A 9-month-old baby girl presents with episodes of screaming , yellow vomit, pallor and a mildly distended abdomen. A single loose motion was passed when the episodes started.

WHICH ONE of the following is the MOST LIKELY diagnosis?

Question 2Select one:

a.
Oesophageal reflux

b.
Intussusception

c.
Pyloric stenosis

d.
Gastroenteritis

Answer 2

Intussusception

Must be >duodenum thats where yellow comes from, screaming=obstruction

Question 3

A four-week-old male infant presents to the emergency department, with a swelling in the right groin. He has vomited twice and has been crying and difficult to pacify. His examination reveals a right inguinal hernia. You successfully reduce the hernia by holding the feet up and using moderate pressure to the hernia for 5 minutes. The baby settles after this and feeds normally. At what time is paediatric surgical repair of the hernia indicated for this child?

Question 3Select one:

a.
At twelve months of age

b.
Repair not indicated at all

c.
Within the next week or two

d.
Only if hernia is irreducible

Answer 3

Within the next week or two

Worry about strangulation

Question 4

A 9-month-old boy presents with 24 hours of periods of intermittent screaming, vomiting and going pale following the passage of a loose stool with a very large bright red blood clot. The MOST LIKELY diagnosis is:

Question 4Select one:

a.
Ileocaecal intussusception

b.
Campylobacter gastroenteritis

c.
Jejunal/duodenal malrotation

d.
Inflammatory bowel disease

Answer 4

Ileocaecal intussusception

Question 5

You are asked to see a 4-week-old baby with a 7 day history of vomiting of feeds which has become more severe over the past 48 hours. The baby feeds voraciously and the vomiting occurs up to three hours post-feed. Mother has noticed the vomits may be forceful and occasionally extend up to one metre from the bed.

WHICH ONE of the following is the MOST LIKELY diagnosis?

Question 5Select one:

a.
Gastrooesophageal reflux

b.
Rotavirus gastroenteritis

c.
Congenital pyloric stenosis

d.
Congenital galactosaemia

Answer 5

Congenital pyloric stenosis