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Q55 Single choice

A1-month-old female presents after an episode of bilious emesis. She became irritable 12 hours ago, began vomiting 6 hours ago, and is now lethargic. She had one small stool that was somewhat bloody 2 hours ago.

Which of the following statements is true?

A
An upper GI contrast study should be obtained immediately.
B
The most likely explanation is pyloric stenosis.
C
The patient should be admitted for IV fluid resuscitation and observation. If she does not improve over the next 24 hours, a surgical consultation should be obtained.
D
An air contrast enema is the most appropriate next step.
E
A nasogastric tube should be inserted and IV antibiotics started to treat probable necrotizing enterocolitis.

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