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Pediatric Gastroenterology


Answer 1
  1. Esophageal atresia. This patient has esophageal atresia, a common esophageal congenital malformation in which the proximal esophagus ends in a blind pouch and is not in continuity with the distal esophagus and stomach. Over 90% of patients with esophageal atresia have an associated tracheoesophageal fistula. The patient is experiencing episodes of aspiration when attempting to swallow. A Zenker’s diverticulum would be very unlikely in a neonate. Neonatal GERD is possible but typically would not be associated with cyanosis. Disordered pharyngeal function is highly unusual in a neonate, and milk allergy could mimic some of these symptoms but would not manifest this soon after birth. g’s disease may vomit, constipation is the more common presenting symptom.

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