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  #1  
Old 09-15-2011
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GIT Refusal to eat

A 2 week old boy who was born at 27 weeks gestation is brought to the emergency room because he suddenly refused to eat. He became hypotensive, bradycardic, and lethargic during his initial evaluation and was rushed to surgery for peritonitis. The patient did not survive, and his gross pathological specimen is shown. Which of the following is the greatest risk factor for the developing this patientís condition?
A. Failure to pass meconium within 48 hours of birth
B. History of feeding well
C. Family history of pneumonia
D. Development of pneumoperitoneum
E. Birth weight of 1226 grams

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  #2  
Old 09-15-2011
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it looks like toxic megacolon!
the ans seems like A to me
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Old 09-15-2011
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Default D.

Looking like a perforation to me.
D. Development of pneumoperitoneum
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Necrotizing enterocolitis coz of preterm???
E. Birth weight of 1226 grams
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Old 09-15-2011
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E. Birth weight of 1226 grams

LBW - low birth weight is risk factor for Necrotizing enteroclolitis
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Old 09-15-2011
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E. Birth weight of 1226 grams
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  #7  
Old 09-16-2011
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Quote:
Originally Posted by ricko335 View Post
A 2 week old boy who was born at 27 weeks gestation is brought to the emergency room because he suddenly refused to eat. He became hypotensive, bradycardic, and lethargic during his initial evaluation and was rushed to surgery for peritonitis. The patient did not survive, and his gross pathological specimen is shown. Which of the following is the greatest risk factor for the developing this patient’s condition?
A. Failure to pass meconium within 48 hours of birth
B. History of feeding well
C. Family history of pneumonia
D. Development of pneumoperitoneum
E. Birth weight of 1226 grams

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E. Birth weight of 1226 grams

Last edited by aknz; 09-16-2011 at 07:55 AM.
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It is nec which is due to low birth weight
the correct answer is e
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  #9  
Old 09-16-2011
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Correct ans is C
but A is hirsprung's disease it may be associated with necrotizing enterocolitis. . . ???
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