weekly question 25/1/2026

[Admin]

You are called by the emergency department to consult on a ten-day old full term male infant with bilious vomiting. The baby is hemodynamically stable and the abdominal exam is unremarkable. An abdominal ultrasound obtained by the emergency physician suggests that the superior mesenteric artery lies to the right of the vein and that there might be “swirl sign”. Your plan in this patient with bilious vomiting should be immediate

A repeat the ultrasound with graded compression

B upper gastrointestinal series.

C contrast enema.

D computerized tomography of the abdomen.

E laparotomy.

 

[Ayman]

B

 

[Mariam993]

B

 

[Bola Abdelmaseh]

B

 

[Hassan k]

You are called by the emergency department to consult on a ten-day old full term male infant with bilious vomiting. The baby is hemodynamically stable and the abdominal exam is unremarkable. An abdominal ultrasound obtained by the emergency physician suggests that the superior mesenteric artery lies to the right of the vein and that there might be “swirl sign”. Your plan in this patient with bilious vomiting should be immediate

A repeat the ultrasound with graded compression

B upper gastrointestinal series.

C contrast enema.

D computerized tomography of the abdomen.

E laparotomy.

E

 

[Dr Lu]

E

 

[Santiago darrigran]

E

 

[Abd El wahed]

E

 

[Bukade]

You are called by the emergency department to consult on a ten-day old full term male infant with bilious vomiting. The baby is hemodynamically stable and the abdominal exam is unremarkable. An abdominal ultrasound obtained by the emergency physician suggests that the superior mesenteric artery lies to the right of the vein and that there might be “swirl sign”. Your plan in this patient with bilious vomiting should be immediate

A repeat the ultrasound with graded compression

B upper gastrointestinal series.

C contrast enema.

D computerized tomography of the abdomen.

E laparotomy.

E

 

[Admin]

Correct answer
B upper gastrointestinal series.

as long as the child is hemodynamically stable & abdomen not surgical, upper gastrointestinal study should be done to confirm diagnosis. if child is shocked/septic surgical exploration should not be delayed waiting for imaging.

 

[Dr Ammar]

You are called by the emergency department to consult on a ten-day old full term male infant with bilious vomiting. The baby is hemodynamically stable and the abdominal exam is unremarkable. An abdominal ultrasound obtained by the emergency physician suggests that the superior mesenteric artery lies to the right of the vein and that there might be “swirl sign”. Your plan in this patient with bilious vomiting should be immediate

A repeat the ultrasound with graded compression

B upper gastrointestinal series.

C contrast enema.

D computerized tomography of the abdomen.

E laparotomy.

E

 

[Reem Mohammed]

B