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 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 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?
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?
A horse kicks a 14-year-old girl in the abdomen while she was at riding camp. A CT scan demonstrates a grade IV splenic injury. The child has a pulse of 110 bpm and blood pressure of 110/70. What is the best management of this child?
A new-born boy presents with choking on feeding. The midwife had difficulty passing an NG tube. A Chest /Abdominal X-ray is performed which shows an NG tube coiled at T3/4 and a gasless abdomen. Which of the following operations is likely to be required?
A new-born baby has an abdominal wall defect diagnosed antenatally. When admitted to the neonatal unit, there is a sac found covering a 3cm defect with what appears to be intestine; no liver is visible. The baby has no dysmorphic features other than a large tongue. What is the immediate danger with this baby?
A new-born baby with confirmed trisomy 21 presents with bilious vomiting and an abdominal X-ray at 1 day of age showing a ‘double-bubble’ appearance. What is the most likely diagnosis?
A 9-year-old boy was conservatively managed for an appendicular mass. The parents enquire whether to have an interval appendicectomy to prevent the chances of having appendicitis again. What percentage of patients with conservatively managed appendix mass are likely to develop recurrent appendicitis?
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?