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Bilious vomiting in a child

Appears 1×
Teaching point — how the wording changes the answer

Green (bilious) vomiting in a child suggests bowel obstruction (e.g. malrotation/volvulus) and warrants an abdominal X-ray/upper GI series. If the stem truly says respiratory 'sputum', CXR assesses for pneumonia — read the wording carefully.

Q114 Boy vomited green material ('sputum'), investigation.
Key clue Ambiguous wording bilious vs respiratory
Show answer
Abdominal X-ray if bilious (CXR if respiratory)