SAQ 366 – Paediatrics – vomiting neonate with necrotising enterocolitis

A preterm female neonate, now 4 weeks old and corrected to term, presents after 12 hours of vomiting. She is irritable with sunken eyes.

IV access has been obtained and a nasogastric tube inserted for persistent vomiting. The abdominal X-ray is shown below.

Observation	Value
Temperature	39.5 C
Capillary refill	4 seconds
Heart rate	172/min
Respiratory rate	40/min
Oxygen saturation	98% on room air

Give three (3) obstructive and three (3) non-obstructive causes of vomiting in a neonate.

(Marked out of 6.0)
</p> <table class="saq-prop-table"> <thead> <tr> <th>Cause group</th> <th>1.</th> <th>2.</th> <th>3.</th> </tr> </thead> <tbody> <tr> <td>Obstructive</td> <td></td> <td></td> <td></td> </tr> <tr> <td>Non-obstructive</td> <td></td> <td></td> <td></td> </tr> </tbody> </table> <p>

/ 6

Identify the most important X-ray finding and state the likely diagnosis.

(Marked out of 2.0)

/ 2

Outline further management, assuming no treatment beyond IV access and NG insertion has yet been given.

(Marked out of 6.0)

/ 6

Total Score: 0 / 14

Percentage: 0%