A 3 Month Old Presents Crying Inconsolably. His Father Tells You His Son Has Been Vomiting Green Stuff For The Last 2 Days, Unrelated To Feeding, And Was Looking Dry. There Were Less Wet Nappies With Less Poo, And No Blood On Pr Exam. The Abdomen Was Soft And Non-Provocative/Tender. You Suspect This Is A Malrotation Volvulus Causing These Symptoms. This Is Strengthened By Paucity Of Air On Axr. What Is The Next Imaging Investigation To Confirm The Diagnosis? How Do You Explain What Has Happened To The Parents? What Is The Role Of Surgery?

2000+ questions in this practice test set.

1. A 3 Month Old Presents Crying Inconsolably. His Father Tells You His Son Has Been Vomiting Green Stuff For The Last 2 Days, Unrelated To Feeding, And Was Looking Dry. There Were Less Wet Nappies With Less Poo, And No Blood On Pr Exam. The Abdomen Was Soft And Non-Provocative/Tender. You Suspect This Is A Malrotation Volvulus Causing These Symptoms. This Is Strengthened By Paucity Of Air On Axr. What Is The Next Imaging Investigation To Confirm The Diagnosis? How Do You Explain What Has Happened To The Parents? What Is The Role Of Surgery?

Home birth, antibiotic admin (decreased gut flora --> decreased k absorption)
Ninety-five per cent are due to non-dysjunction during meiosis and 5% to an unbalanced translocation. "
-a barium swallow series can demonstrate the level of obstruction around the duodenum (hence bilious vomiting) and shows the barium is all one one side of the spine because in malrotation the duodenum and small bowel are on one side and large bowel is on the other. -explanation to parents= the likely cause of your sons vomiting is the way his intestines have developed. They may not have twisted normally such that the tube is more continuous and the bands of tissue (ladds bands) that normally hold down the sides of the bowel are pressing on the area that the stomach empties into. -surgery is needed to free up the part that is covered by the ladds bands and untwist them by what is called a ladds surgery. "
Young patients with all