Paediatric Surgical Problems

Question 1

A 4 week old male presents with projectile vomiting. Investigations show a hypokalemia, hypochloremia and metabolic alkalosis. What is the likely diagnosis?

Answer 1

Pyloric stenosis. The hypokalemia, hypochloremic, metabolic alkalosis is indicative of a gastric outlet obstruction/

Question 2

A 6 hour old newborn presents with feeding intolerance and non bilious vomiting. There was polyhydramnios during the pregnancy. On exam vitals are normal, fontanelles flat, abdomen is soft and non tender. You note dysmorphic features. What is the most likely diagnosis?
A. Intussusception
B. Hernia
C. Duodenal atresia
D. Appendicitis

Answer 2

C. Duodenal atresia

X-ray finding = double bubble sign