6 month old with vomiting, lethargy, and abdominal pain. | Figure 1

6 month old with vomiting, lethargy, and abdominal pain.

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Baby brought in today with a bulging on scalp, away from the anterior fontanelle. mother says she saw this when baby was 4days old now he is 11days old. There is no pain, no vomiting

AP (image 1) and crosstable lateral (image 2) of the abdomen in a neonate born prematurely shows extensive pneumatosis (arrows) and portal venous gas (arrowhead). Necrotizing enterocolitis is the most common cause of pneumatosis in neonates. It typically occurs within the second or third week of life in prematurely born, formula-fed infants. Lateral radiographs are essential to evaluate for intraperitoneal free air as this changes the care from medical to surgical. #TummyTuesday #AbdomenTuesday

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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?