Approach to abdominal wall defects Quiz: Ace Your Exams
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A 4-week-old girl is evaluated during a well-check visit. The infant was born at term via an uncomplicated vaginal delivery and had an unremarkable neonatal course. A caregiver reports noticing an abdominal mass after the umbilical cord separated. There is no fever, vomiting, or diarrhea. Urine output and bowel movements are normal. Temperature is 37°C (98.6°F), pulse is 129/min, respirations are 38/min, blood pressure is 75/41 mm Hg, and oxygen saturation is 96% on room air. Physical examination reveals no rash, a supple neck, and a normal cranial exam. Capillary refill is less than 2 seconds. Cardiopulmonary examination is unremarkable. The abdomen is soft and nontender with a reducible umbilical mass. No drainage is noted on exam. Which of the following is the most likely diagnosis?
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