Upper GI series. Classic #Double-bubble-sign duodenal #Atres | Figure 1

Upper GI series. Classic #Double-bubble-sign duodenal #Atresia

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Gastric pneumatosis after repair of pyloric stenosis in a male 2 months old infant , air was relieved by advancing NG tube.


2 days old baby boy born to a 44 yr G3P2 via NSD. No complications. Apgar 999. On pe. Pt presented with clinical features likely to be Down syndrome (low set ears, hypertelorism, arched palate, sandal gap toe). Abdominal pe, there was a mass like structure on the left upper quad. Xray revealed this. Any inputs?


AP abdominal radiograph in a newborn with vomiting shows a dilated, gas-filled stomach (white arrow) and proximal duodenum (black arrow) with an absence of distal bowel gas (the classic “double bubble” sign). The size and shape of the proximal duodenum and lack of distal gas strongly suggest a chronic in utero obstruction, most likely duodenal atresia (which was confirmed surgically). #TummyTuesday


A double bubble can be caused by chronic obstruction of the proximal duodenum. The most common entity to cause a double bubble sign is duodenal atresia. Other entities in the differential diagnosis include an annular pancreas, duodenal web, and malrotation. #FridayQuizDay #FridayQuiz

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A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis.
He had a history of hypertension, long-term smoking, and a sedentary lifestyle.
On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.


A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets.
Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.


A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.


patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?