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Pediatrics Disorders of Gastrointestinal System Including Diarrhea 92012767

A term newborn presents with frothing, excessive drooling and coughing with feeds. There was a history of polyhydramnios in the antenatal period. A chest X-ray was done which showed the following finding. What is the diagnosis?

A
Congenital diaphragmatic hernia
B
Esophageal atresia only
C
Esophageal atresia with tracheoesophageal fistula
D
Hyperophic pyloric stenosis
High-Yield Explanation
* Chest X ray showing a feeding tube coiled in upper esophagus with no gases in bowel loops, in a newborn with frothing, excessive drooling & coughing with feeds, with history of antenatal polyhydramnios suggests a diagnosis of Esophageal atresia with tracheoesophageal fistula (EA with TEF) Classification of TEF: Type A: Atresia only (60%) Type B: Atresia with proximal TEF (2%) Type C: Atresia with distal TEF (85%): most common Type D: Atresia with both proximal and distal TEF (rare) Type E: Isolated TEF (H-type) (1%)

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