Approach to abdominal wall defects Quiz: Ace Your Exams
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A biologically male newborn delivered at 39 weeks’ gestation is evaluated in the delivery room for an unusual appearance of the abdomen. There is a history of poor prenatal care and consanguineous marriage. There is no history of drug use or febrile illness with rash during pregnancy. Apgar scores were 7 and 9 at 1 and 5 minutes, respectively. Delivery was otherwise uneventful. Temperature is 37°C (98.6°F), pulse is 135/min, respirations are 37/min, blood pressure is 66/37 mmHg, and oxygen saturation is 98% on room air. On examination, the infant appears hypotonic. Abdominal examination reveals thin, wrinkled abdominal wall skin and visible peristalsis with palpable kidneys and bladder. Examination is otherwise unremarkable. Which of the following physical exam findings would help confirm the patient’s most likely underlying diagnosis?
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