A baby born at 37 weeks gestation weighing 2.55kg has many clinical features suggestive of Down syndrome.

Subject
Paediatrics
System
Gastrointestinal & Nutrition

Kathryn

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Jul 29, 2020
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Singapore
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A baby born at 37 weeks gestation weighing 2.55kg has many clinical features suggestive of Down syndrome. Eight hours after birth he starts vomiting milk and bile- stained material. He is noted to have mild upper abdominal distension. Which one of the following is the most likely cause for his vomiting?
(A) Meconium plug syndrome
(B) Hirschsprung disease
(C) Duodenal atresia
(D) Necrotising enterocolitis
(E) Volvulus of the large gut
 
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