Necrotizing enterocolitis Quiz: Ace Your Exams
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A 7-day-old baby boy born at 27 weeks is evaluated in the neonatal intensive care unit (NICU) and found to have high gastric residuals, fever, lethargy and bloody stools. Vital signs include a temperature of 38.6 °C (101.5 °F), heart rate of 172/min, respiratory rate of 55/min, and blood pressure of 65/35 mmHg. Exam is notable for a distended abdomen with decreased bowel sounds. There is abdominal tenderness to palpation in all four quadrants without rebound or guarding. There are no anal fissures or abscesses. Which of the following clinical findings would be most indicative of the most likely underlying diagnosis?
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