GI Buzzwords

Question 1

Neonates
Frothing bubbling cyanosis
Regurg immediately after feeding
Cannot pass NGT

Answer 1

TEF

Question 2

4mos
Refuses to feed, postprandial regurgitation
Esophagitis, recurrent pneumonia

Answer 2

GERD

Question 3

3 week old
Non bilious projectile vomiting
Firm olive shaped mass in abdomen

Answer 3

Pyloric stenosis

Question 4

Preterm neonate
Bilious vomiting postprandial
Double bubble sign on xray

Answer 4

Duodenal atresia

Question 5

Sudden severe epigastric pain
Inability to pass NGT
Retching with emesis
Coffee bean, Omega sign, Bird beak sign

Answer 5

Volvulus

Question 6

Few months old
Bilious vomiting
UTZ: misplaced ligament of Treitz, cecum in RUQ instead of RLQ

Answer 6

Malrotation

Question 7

1 year old

Painless rectal bleeding with mild pallor

Answer 7

Meckel’s

Question 8

Neonate, delayed passage of meconium >48hrs
Poor growth, abdominal distention
DRE: Empty rectal vault

Answer 8

Hirschsprung

Question 9

5 months old
Paroxysmal crampy colicky abdominal pain and vomiting. asymptomatic in between
Currant jelly stools
Donut/target sign, coiled spring sign

Answer 9

Intussusception

Question 10

Recurrent dull epigastric pain, awaken patient at night, relief after antacids
Positive urea breath test

Answer 10

PUD

H. pylori