Bilious (green) vomiting infant — obstruction / malrotation
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Teaching point — how the wording changes the answer
Bilious (green) vomiting in a neonate/infant = malrotation with midgut volvulus until proven otherwise. Resuscitate: IV fluids + NG decompression, then urgent upper-GI contrast study. Surgical emergency.
Q45
Paediatric green vomit + irritable. Most appropriate next management? (IV fluid / AXR / NG decompression / USG)
Key clue
Bilious + irritable
Show answer
NG decompression + IV fluid, urgent contrast study
NA-3
10-day neonate, bilious vomiting, passed bowel day 5 then none
Key clue
Bilious vomiting + obstruction
Show answer
IV fluid + NG aspiration