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PROBLEM SOLVING IN CLINICAL PRACTICE |
Department of Paediatric Surgery, The Hospital for Sick Children, Great Ormond Street Hospital, London, UK
Correspondence to:
J I Curry, Department of Paediatric Surgery, The Hospital for Sick Children, Great Ormond Street Hospital, London WC1N 3JH, UK; curryj@gosh.nhs.uk
| The first 150 words of the full text of this article appear below. |
Daniel was 3 weeks of age when his parents took him to casualty. He had not been feeding well during the previous 12 h. Vomiting was now their main concern and what worried them more was the colour of the vomitus which was green.
He was the first born child to a healthy non-consanguineous Caucasian couple. The pregnancy had been uneventful. The first fetal anomaly scan had been performed at the local hospital and the rest abroad. The scans were not available, but the report indicated an absence of any major anomalies. He was born at full-term by normal vaginal delivery. He was in good condition at birth and cried instantly. His birth weight was 3200 g. He was initially breast fed and settled. He had passed meconium normally. Postnatal examination had revealed a small right-sided hydrocoele. He was discharged from hospital at 6 h of age.
At presentation (11.30
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