First one with correct answer with justification win.
A four-day old term newborn with congenital heart disease (atrial and ventricular septal defect) develops feeding intolerance and bloody stools. The abdominal radiograph is pictured below.
Which of the following is the next best step in the management of the this full term infant with bloody stools?
A switch to a nonmilk based formula
B administer a diuretic
C start broad spectrum parenteral antibiotics
D obtain a contrast enema
E perform an exploratory laparotomy
A four-day old term newborn with congenital heart disease (atrial and ventricular septal defect) develops feeding intolerance and bloody stools. The abdominal radiograph is pictured below.
Which of the following is the next best step in the management of the this full term infant with bloody stools?
A switch to a nonmilk based formula
B administer a diuretic
C start broad spectrum parenteral antibiotics
D obtain a contrast enema
E perform an exploratory laparotomy
