Approach to abdominal wall defects Quiz: Ace Your Exams
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A newborn male delivered at 38 weeks’ gestation is evaluated in the neonatal intensive care unit (NICU). The infant was born to a primigravida mother. Prenatal ultrasonography demonstrated an abdominal wall defect, and the pregnancy was complicated by oligohydramnios. There is no history of maternal fever or substance use. Delivery was uneventful. Temperature is 37°C (98.6°F), pulse is 160/min, respirations are 37/min, blood pressure is 65/35 mmHg, and oxygen saturation is 97% on room air. On physical examination, there is an abdominal wall defect at the umbilicus with a herniated small intestine in a fluid-filled sac. Pediatric surgery and genetics are consulted. Which of the following diagnostic tests is indicated?
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