20. Dx: Intussusception a/w syncope (neurogenic intussusception). Its pathophysiology is unclear but proposed mechanisms include release of neuropeptides from strangulated bowel, absorption of toxic metabolites, dehydration & electrolyte imbalance due to vomiting.
14. Plain abdominal radiography showed decreased air in the right colon, with a masslike lesion surrounded by radiolucent fat. Abdominal USG was performed. ๐ฉ
At this point, the Senior asks you for your diagnosis.
Which meme depicts the correct diagnosis?(๐ช for guessing others)
10. You all passed the senior's test. ๐The labs suggest a cause for gastric outlet obstruction (GOO!!) - which in infants would mostly be due to infantile hypertrophic pyloric stenosis. (That's not our case, don't worry!)
10-month-old girl brought to Peds OPD by father, for vomiting-woke her from sleeping, associated with irritability, and
Episodes of unresponsiveness-which are getting progressively worse and are unrelated to the episodes of vomiting.
4 new interns have joined, you tell them to-
7. Intern#4 informs the senior. On examination, vitals-stable and neurologic examination now revealed a sleeping infant who was difficult to arouse but, once awake, had no neurologic abnormalities. Rest of the examination-normal. EEG , MRI - normal. What to we focus on?