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PAEDIATRICS


VOMITING 4 WEEK OLD DDx

Duplicates - Merge with above!!
PromptPyloric Stenosis
ResponseUS - Target sign and thickendd pylorus (sn 95%)
Hypochloricaemic alkalosis (with increased creatinine)
Self-rate:
PromptIncarcerated Hernia
ResponseIrribility with vomiting and inguinal mass
Self-rate:
PromptIntussusception
ResponseUsually older age group 6-36 months. Can occur in neonates
Period of pallor, intermittent pain, with hematochezia
May have Dance sign (retraction in RIF)
Self-rate:
PromptIntestinal duplication, stenosis or atresia
ResponseBilious vomiting if lesion at ampula of vater, and gastric or abdo distension (usually within horus or days of birth)
Self-rate:
PromptAntral or duodenal web
ResponsePresentation depends on severity - vomiting and abdo distension
Self-rate:
PromptHirsprung disease
ResponseAbdo distention and failure to pass meconium in first 48 hours. May present with enterocolitis
Self-rate:
PromptForeign body
ResponseMore likely 6 months plus
Range of symptoms from asymptomatic through to food refusal, vomiting, perforation.
Self-rate: