A 15-week-old baby boy is brought to the emergency by his parents due to vomiting and weight loss. Physical examination reveals a central palpable mass in the abdomen. Ultrasound examination shows a pylorus 8mm long and a target sign centrally. What is the most likely diagnosis?
A 15 year old girl is taken to the A&E after complaining of right iliac fossa pain which started suddenly. She is well other than having some right iliac fossa tenderness but no guarding. She has no fever and the urinary dipstick result is normal. Her last menstrual cycle was 14 days ago which was also normal and the pregnancy test done is negative. What is the most likely underlying condition?
A 14-month-old boy is brought to the paediatric clinic by his mother with complaints of vomiting, abdominal pain, and rectal bleeding. On examination, he is found to be dehydrated, and a palpable abdominal mass was felt. A Meckel’s scan proved to be negative. However, the ultrasound scan did reveal a target sign.What is the most probable cause of the patient’s complaints?
A 1-year old child is brought to the ER with abdominal distension and bilious vomiting. Radiological examination shows distended bowel loops and gas in the rectum. Her mother reveals that the baby had surgery at the two days of age for a twisted intestine. Blood gas analysis from a sample drawn from a capillary shows a pH of 7.34 and lactate of 2. Which of the following is the most appropriate management step?
A 17 year old girl is taken to the hospital with a 10 hour history of pelvic pain. Her last normal menstrual cycle was 14 days ago and she is otherwise well. Her abdomen was soft with mild suprapubic pain on examination. What is the underlying cause?
A 5 month old baby presents with bilious vomiting. Doctors notice a palpable mass and drawing up of legs. They treat the baby with an air reduction enema, suspecting intussusception. However, the procedure is interrupted as the baby develops abdominal distention and starts to drop their saturations. What would be the single most appropriate next step?
A 14-month-old girl was brought to the hospital by her mother, with complaints of a 0.5 cm cystic lump on the lateral aspect of her eyebrow. It has been present since birth but is slowly increasing in size. What is the most probable diagnosis?
An 8 year old male child of Afro-Caribbean descent complains of acute abdominal pain. Clinical examination reveals a soft abdomen. The boy is tachycardic and has an Hb of 6 g/dl. His mother says she noticed fresh rectal bleeding. What is the most probable diagnosis?
A 6 year old child presents with acute scrotal pain. Clinical examination reveals scrotal tenderness, redness, swelling, and associated hydrocele. What is the most likely diagnosis?
An 8 year old male who is unable to retract his previously retractile foreskin has been treated with 1% hydrocortisone for 3 months. He presents with a white and thickened foreskin. What would you do next to manage his condition?