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USMLE Step 2 CK Buzzwords Buzzwords that should ring a bell in USMLE Step 2 CK exam.


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  #1  
Old 03-05-2011
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Kids Bilious Vomitting in Neonate

When you see the word Bilious (greenish) vomiting in Neonate...think of the following:
  • Duodenal atresia
  • Meconium ileus
  • Meconium plug
Feel free to add to the list
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Old 03-05-2011
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The list seems full! Thanks DrCerebrum

And may I add just for fun that a cause of bilious vomiting is a color-blind physician watching a bloody vomit!
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Old 03-05-2011
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would be good to hear from Dr Cereburm how to differentiate between them! Thanks
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Old 06-17-2013
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Duodenal Atresia- look for : premature baby, down syndrome, polyhydramnios on prenatal exam. Also search for other VACTREL associations as well as "double bubble " on CXR. ( ofcourse double bubble is not specific for duodenal atresia)

Meconium plugs- look for patients with history of : small left colon ( seen in infants of diabetic mothers), hirschprung disease, CF, maternal drug abuse.

Meconium Ileus- rule out cystic fibrosis.

Abdominal XR for meconium plugs and ilenus- multiple dilated loops of bowel, ground glass appearance in lower abdomen.

* corrections, additions are welcome !* Sorry for any errors
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Old 10-13-2013
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what about malrotation??
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Old 04-28-2014
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Jejunal atresia also has bilous vomiting
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Old 06-27-2014
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I think that any kind of obstruction below the pylorus can give a bilious vomiting in neonate...

The main think is that when you see a greenish vomiting: start thinking about something serious...

Instead if it was not bilious (aka not greenish) could also be normale GERD of neonate.
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Old 01-27-2015
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Also,

- Malrotation
- Midgut Volvulus (Corkscrew Appearance on Barium Upper GI series)
- Intususception (with current jelly stools and target sign on USG)
- Jejunal Atresia (Triple Bubble on Abd. X-ray)
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