What this deck covers
Vomiting in Infancy: Reflux, Pyloric Stenosis and the Red Flags in twelve illustrated clinical cases with worked explanations – case presentations built around clinical images, radiology, teaching illustrations and real laboratory data, with the reference range beside every value a case quotes. This visual, data-interpretation style of practice suits candidates preparing for MRCPCH AKP in particular, alongside the Saudi Prometric (SCFHS) exam, the Arab Board, DHA and OMSB. Each case gives you a clinical vignette, four options, the correct answer, and an explanation of why each of the other three is wrong.
The twelve cases, in order
- The happy spitter
- Projectile at four weeks
- The gas the vomit writes
- Correct before you cut
- Two bubbles on day one
- The other end of the story
- The arch that is not a fit
- The features that change everything
- Climbing the ladder in order
- The halo on the film
- The coin that can wait
- The vomit before breakfast
What this deck teaches
- Effortless and thriving is physiology. The happy spitter needs explanation and time – no tests, no acid, no formula roulette.
- Hungry after projectile vomiting. Pyloric stenosis at 3-6 weeks – test feed, ultrasound, never a green vomit.
- Chloride names the vomiting. Hypochloraemic hypokalaemic metabolic alkalosis – and the operation waits for its correction.
- Bilious on day one means a surgeon. Double bubble without distal gas is duodenal atresia; any distal gas earns an urgent contrast study.
- Vomiting that brings friends. Eczema above and mucousy blood below is milk allergy – change the milk, not the acid.
- The ladder climbs one rung at a time. Feed review, thickener or alginate, then a 4-week PPI trial with an endpoint.
Exam pearls from this deck
- A thriving baby who possets is doing what half of all babies do – the treatment is a calm explanation and a spare muslin.
- The pyloric infant vomits his feed and asks for it back – hunger after projectile vomiting is the sign that separates obstruction from disgust.
The twelve worked cases in this deck, with the images and the full explanation of every option, are part of Pediatric Case Review membership. See what is included, or start with the free Prometric question sets.
More from this system: all gastroenterology illustrated case decks · gastroenterology board questions for bank-style drilling · the free Pediatric Prometric question sets · pediatric reference values.
