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  #1  
Old 08-12-2011
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Kids Diagnosis of this infant regurgitation!

A 12-month-old girl has been spitting up her meals since 1 month of age. Her growth is at the ninety-fifth percentile, and she is otherwise asymptomatic and without findings on physical examination. Which of the following is the most likely diagnosis?
Pyloric stenosis
Partial duodenal atresia
Hypothyroidism
Gastroesophageal reflux disease
Tracheoesophageal fistula
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Old 08-12-2011
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pyloric stenosis........?
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Old 08-12-2011
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A) Pyloric stenosis .. I think, the classic finding would be projectile vomitting.
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Old 08-12-2011
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b) partial duod atresia, as over the 11 months she is growing and normal, otherwise she should has growth retardtion.

exclusions:
- pyloric is not right , because it is most often surgery and she has to underwent surgery by this time
- hypothyroidism - no mental problems
- GERD - young age
- tracheesophageal fistula - more serious than just spitting and no lung infection
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Old 08-12-2011
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Yes, I also think its B) Partial Duodenal Atresia

For reasons explained above, and also

TE Fistula would create cyanosis and choking, this patient is asymptomatic.

Pyloric Stenosis would be known within first 2 weeks of life and you can feel an olive like mass in the epigastric region (which is not so in this case)
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Old 08-12-2011
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B). partial duodenal atresia
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Old 08-12-2011
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yup partial duodenal atresia ...
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Old 08-14-2011
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Gastroesophageal reflux disease
very common complaint in infants all other choices will be accompanied by other findings on physical examination and other symptoms
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Gastrointestinal-Tract-, Pathology-, Pediatrics-, Step-1-Questions

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