Intestinal malrotation
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Summary of Intestinal malrotation
Intestinal malrotation is a congenital anomaly of rotation of the midgut. As a result: the small bowel is found predominantly on the right side of the abdomen; the cecum is displaced into the epigastrium. The small intestine has an unusually narrow base, and therefore the midgut is prone to volvulus. Patients (often infants) present acutely with midgut volvulus, manifested by bilious vomiting, crampy abdominal pain, abdominal distention, and the passage of blood and mucus in their stools.
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AssessmentsIntestinal malrotation
Intestinal malrotation
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Intestinal malrotation
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USMLE® Step 1 style questions USMLE
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USMLE® Step 2 style questions USMLE
3 questions
Preview
A 4-week-old girl comes to the emergency department because she has had forceful vomiting episodes. She was born full-term and weighed 2800-g (6.2-lb) at birth. These episodes started several days ago and is associated with bilious emesis. The mother notes that she has not had trouble keeping down formula until the vomiting episodes started. Her anterior fontanelle is sunken and mucous membranes appear dry. Her abdomen is tender to light palpation. Abdominal X-ray does not show signs of luminal perforation and fecal occult blood test is negative. Which of the following is the most likely diagnosis?
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