Case of the Month April 2015

Submitted by Allen Ardestani, MD, and Thomas J. Learch, MD .

A 10 month old otherwise healthy female presents with one day of bilious vomiting, lethargy.  The patient was afebrile, had no diarrhea, and the parents denied any sick contacts.

What is the preferred initial imaging test in a vomiting infant?

B) Ultrasound
C) Upper GI series
D) Tc-99m sulfur colloid reflux scintigraphy

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