Q) Newborn with abdominal distension on day 2, not passed meconium. There is absent anal orifice. WHat is the next step? # NEET SS 22
a) Cross table X ray
d) Sigmoid colostomy
Ans a) Cross table X ray
1st step in such cases Rule out congenital abnormalities of spine, sacrum , kidney heart etc
2nd step Cross table x ray If it shows Perineal fistula do ANoplasty, If x ray shows rectal gas below coccyx do PSA RP with or without colostomy, If it shows gas above coccyx with associated defects do colostomy
Q Which of the following statement about hepatic adenoma is CORRECT?
a) It is more common in males
b) Ct shows a central stellate scar
c) Associated with cirrhotic liver
d) Risk of rupture and fatal hemorrhage is present
Giving a clinical scenario of Hepatic Adenoma
A 37 year old lady presents with right upper quadrant pain and nausea. She is otherwise well and her only medical therapy is the oral contraceptive pill which she has taken for many years with no ill effects. Her liver function tests and serum alpha feto protein are normal. An ultrasound examination demonstrates a 4cm non encapsulated lesion in the right lobe of the liver which has a mixed echogenicity and heterogeneous texture.