Match each classic clinical scenario to the most appropriate pediatric gastrointestinal diagnosis.
- An infant at 5 weeks of life presenting with forceful, non-bilious emesis immediately after feeds and a palpable, firm abdominal nodule.Hypertrophic pyloric stenosis
- A 14-month-old toddler exhibiting periods of sudden, inconsolable crying accompanied by drawing the knees to the abdomen, followed by passage of dark red, gelatinous stool.Intussusception
- A term newborn who has not passed stool by 60 hours of life, presenting with a progressively distended abdomen and an explosive release of gas and stool upon digital rectal examination.Hirschsprung disease
- A previously healthy 9-day-old baby who rapidly develops green-colored vomiting; subsequent fluoroscopic imaging demonstrates a spiraling appearance of the proximal bowel.Malrotation with midgut volvulus
Answer
1. Forceful emesis and a palpable nodule match Hypertrophic pyloric stenosis. 2. Colicky pain and gelatinous stool match Intussusception. 3. Delayed meconium and squirt sign match Hirschsprung disease. 4. Green-colored vomiting and spiraling bowel on imaging match Malrotation with midgut volvulus.
Each clinical vignette provides highly specific, classic findings that directly point to a single diagnosis without ambiguity, matching the expected presentation of these major pediatric gastrointestinal disorders.
Step-by-Step Solution
Key Concept
Recognition of hallmark clinical presentations for pediatric gastrointestinal emergencies.