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NBME 24 Answers

nbme24/Block 1/Question#17 (25.6 difficulty score)
A 3-year-old boy is brought to the emergency ...
Annular pancreas🔍,📺

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submitted by ihavenolife(68),
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Alrannu aeranspc is an alboamnr otirnato fo het aenrvtl aactcpiner b.ud tI creseicnl teh 2dn atrp of eth moduuned lkei a girn dan waosrnr eht lnume fo hte uedodunm. fI hte ipcacnaret ignr si ithtg ghenuo to nrowra the lnume og,hnue it aedls to ionitm.gv heT bsiloui miotigvn lpmisie het sicboottnru is satldi ot eht Allpamu of retaV.

htOer aesrnws

oyPclir sesisont &tg-; NNOosbiilu lerpeijcot miitvo,ng d-esvhlaiepo asms in sgeitprcai nirgoe

heglosapaE tearisa gt-&; olduw be onn bliisou sa lelw. llayusu aeetnsno ptnrees ithw nrgio,ldo hokec nad ivmot htiw ITFRS ng,efied htis oby is 3 rsy ldo os it si .uyneikll

Biiarly atsarie &t;g- ieFrtb-tiarooblvie rtuoeinctds of eihtxaparetc elbi t,cud ledas ot tsieos.lsahc saUyull obrwnne whit dnai,jecu kadr urein dan hcocila tosols ecuebas beil kbaedc .pu

aneurysmclip  therefore biliary atresia would also be non bilious vomit. :) +2  
ophmd  Curious as to why this presented at 3 years of age +3  
ophmd  To answer my own curiosity; according to UWorld - most cases are asymptomatic at birth, so likely it presented when this child's organs began to increase in size (particularly the descending duodenum) +11