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Common pediatric surgery problems.pdf

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A 6-wk-old infant presents with jaundice. An abdominal<br />

USG appears normal. HIDA scan fails to demonstrate<br />

emptying into the duodenum. What is the next best step in<br />

management?<br />

A. List for liver transplant.<br />

B. Follow closely until 3 months of age, then do Kasai.<br />

C. Percutaneous liver biopsy.<br />

D. Initiate anti-inflammatory therapy.<br />

E. Laparotomy with operative cholangiogram and liver<br />

biopsy, then Kasai if warranted.

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