Recall. Full-term history of polyhydramnios after birth, grunting and on mechanical ventilator

Recall An 8-month-old patient presented with their mother after a fall 30 minutes back there was a bruise of 6 cm in the head, no vomiting and GCS was 15. He is otherwise well. What to do? a. CT within 4 hours   b. CT within 1 hour  c. Discharge    d. Observe for a while then…

Recall: 10 years female with day urinary symptoms with occasional fecal incontinence X-ray normal (photo of sacral dimple with tuft of hair). What to do next ?

Recall. Down syndrome, with alternate loose stool and constipation, faltering growth 0.9 to 0.4 (2nd centile ), has abdominal distension, all the rest are normal   A) crohn’s  B) Lactose intolerance c. Protein- losing enteropathy d. Short bowel syndrome e. Coeliac disease 

Anorectal malformations An imperforate anus is usually identified during the newborn’s physical examination and can be isolated or part of the VACTERL association. The passage of meconium does not exclude an anorectal malformation as fistulas can occur between the bowel and vagina or urethra. Surgical repair is required and may be staged with an early…