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newborn with bloody stools

Featured Replies

First one with correct answer with justification win.

 

A four-day old term newborn with congenital heart disease (atrial and ventricular septal defect) develops feeding intolerance and bloody stools. The abdominal radiograph is pictured below.

 

 

repview(3).png.jpg.b2194479da93b3693a4d14d889a4901b.jpg

 

 

[size=20px]Which of the following is the next best step in the management of the this full term infant with bloody stools?

 

A switch to a nonmilk based formula

 

B administer a diuretic

 

C start broad spectrum parenteral antibiotics

 

D obtain a contrast enema

 

E perform an exploratory laparotomy[/size]

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