Duodenal Atresia

[size=20px]A 3 year old child with trisomy 21 and a history of duodenal atresia presents to your office. She had a gastrostomy tube placed at birth for failure to thrive and is currently tolerating her feeding regimen. She recently presented in the emergency room for a dislodged gastrostomy tube. Following replacement, a study was obtained confirming placement. The radiologist reports that the gastrostomy tube is well positioned, with a persistently dilated proximal duodenum. The best next step in management with regard to the persistently dilated duodenum is? A Upper GI endoscopy B MR enterography C Gastric emptying study D UGI with small bowel follow through…

[size=20px]A 3-day-old, full-term boy is POD 2 from duodenoduodenostomy for annular pancreas and duodenal atresia. He has a history of truncus arteriosus on preoperative echocardiogram. He has worsening acidemia, requires epinephrine and dopamine, and a distended abdomen. Abdominal x-rays show free air. What is the best next step in management? a Pulmonary artery banding b Repair of truncus arteriosus c Image guided percutaneous drain placement d Exploration with pyloric exclusion and g-tube placement e Exploration and revision of duodenoduodenostomy[/size]

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[center]by dr Tamer Ashraf see video link in second post [/center]

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Any one want a high quality PDF of this chart, post in this thread and use a personalized picture as an avatar, I will send it to you in a private message Edit: available without restrictions

First one with correct answer win. two days old neonate with persistent bilious vomiting, plan x-ray done, what is most likely diagnosis ?

[center]What is the answer ?, what is the second best answer ? [/center]