BILIOUS VOMITING IN NEWBORNS β€” STEP 2 MUST-KNOW πŸΌπŸ’š πŸ’š Bilious = distal obstruction (bile means beyond the ampulla). πŸŒ€ Malrotation Β± Midgut Volvulus: Diagnose with upper GI series (look for a corkscrew). NPO, NG tube, urgent surgery. ⏳ No meconium in 48 hrs? 🧠 Hirschsprung: Aganglionic distal colon, Down syndrome, rectal suction biopsy (squirt sign). Resection. πŸ§ͺ Meconium ileus: Cystic fibrosis, X-ray/contrast enema; Gastrografin enema can treat.οΏ½ #drhavicandbrody #medstudent #medschool #med
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BILIOUS VOMITING IN NEWBORNS β€” STEP 2 MUST-KNOW πŸΌπŸ’š πŸ’š Bilious = distal obstruction (bile means beyond the ampulla). πŸŒ€ Malrotation ± Midgut Volvulus: Diagnose with upper GI series (look for a corkscrew). NPO, NG tube, urgent surgery. ⏳ No meconium in 48 hrs? 🧠 Hirschsprung: Aganglionic distal colon, Down syndrome, rectal suction biopsy (squirt sign). Resection. πŸ§ͺ Meconium ileus: Cystic fibrosis, X-ray/contrast enema; Gastrografin enema can treat.οΏ½ #drhavicandbrody #medstudent #medschool #med
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