, "Double bubble" on xray - ANSWER Duodenal atresia
Malrotation - ANSWER Assortment of intestinal anomalies of rotation & retroperitoneal
fixation (occurs 6-10 weeks gestation)
Malrotation s/s - ANSWER Most have symptoms first week of life
Bileous vomiting
Abdominal distention
Abdominal pain
s/s shock /sepsis
Rectal bleeding
Meconion ileus - ANSWER Mechanical obstruction of distal ileum due to intraluminal
accumulation of thick meconium
Predominant cause cystic fibrosis
Meconium ileus s/s - ANSWER Abdominal distention of birth
Bilious vomiting
Failure to pass meconium in 12-24 hours
Abdominal x-ray shows "soap bubble" or ground glass appearance of distal intestine
Meconium ileus treatment - ANSWER Hypertonic contrast water soluble enema
(draws fluid into the intestine)
Works for 60% of patients
Surgical treatment
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