Question

Differentiate 2 possible disorders of newborn males. After being fed, newborn 1 and newborn 2 projectile vomit. They do not vomit immediately. Newborn 1 has bile-stained vomit. Newborn 2 has vomit that is NOT bile-stained.

a) Gastroesophageal reflux disease (GERD); Intestinal obstruction
b) Pyloric stenosis; Tracheoesophageal fistula
c) Hirschsprung's disease; Celiac disease
d) Duodenal atresia; Meconium ileus

Answer 1

Newborn 1 may have gastroesophageal reflux disease (GERD) while newborn 2 may have pyloric stenosis, based on their symptoms.

Step-by-step explanation:

Based on the symptoms described, the possible disorders that newborn 1 and newborn 2 may have are:

1. Gastroesophageal reflux disease (GERD): This is a condition where stomach acid flows back into the esophagus, causing vomiting after feeding. It can be characterized by projectile vomiting and may result in bile-stained vomit due to the presence of stomach acid.
2. Pyloric stenosis: This is a condition where the muscle between the stomach and small intestine (pylorus) becomes thickened, leading to a blockage. Vomiting is a common symptom, and newborn 2's vomit that is not bile-stained suggests that the obstruction is preventing bile from entering the stomach.

It is important to consult a healthcare professional for an accurate diagnosis and appropriate treatment.