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Pediatrics Gastro Intestinal System a339cbcf

A neonate continuously regurgitates all feeds and is continuously drooling saliva. Which of the following is the most probable diagnosis?

A
Normal phenomenon
B
Congenital hypertrophic pyloric stenosis
C
Tracheo-esophageal fistula
D
Hirschsprung disease
High-Yield Explanation
Ans. is 'c' i.e., Tracheo-esophageal fistula * Neonates with tracheoesophageal fistula present with frothing, excessive drooling, coughing and cyanosis with feeding. This is followed by respiratory distress. Newborn regurgitates of its first and subsequent feeds.In CHPS,* Pyloric stenosis is usually not present at birth.* Nonbillous vomiting is the initial symptoms of pyloric stenosis.Hirschsprung Disease* There is characteristically delayed passage of meconium. This is followed by bilious vomiting and abdominal distension. Enterocolitis is seen between 2-4 weeks with bloody stools and fever.

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