Paediatric surgery

Question 1

Bilious vomiting a few hours after birth w/ AXR double bubble sign

Answer 1

Duodenal atresia

Question 2

Vomiting 3-7 days after birth w/ potentially compromised circulation - haemodynamic instability

Answer 2

Malrotation w/ volvulus

Question 3

Vomiting in the first 24 hours, AXR shows air-fluid levels

Answer 3

jejunal/ileal atresia

Question 4

Vomiting in 24-48 hours of life, in babies with CF most commonly. AXR shows fluid levels

Answer 4

Meconium ileus

Question 5

Vomiting in second week of life: dilated bowel loops on AXR, pneumatosis and portal venous air:

Answer 5

Necrotising enterocolitis