TYK387

During your evaluation of a premature neonate in the NICU scheduled for urgent surgery for bowel perforation, you are recalling important clinical points regarding necrotizing enterocolitis. All the following are true EXCEPT:

a) Aggressive medical therapy is indicated, even if the diagnosis of NEC cannot be absolutely confirmed

b) A primary infection may be the underlying etiology for NEC, and antibiotics should be started in all cases

c) Early feeding may help to prevent the development of NEC in premature infants

d) Breast-fed infants have a lower incidence of NEC than formula-fed infants

e) Volvulus must be considered in the differential diagnosis of NEC

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Answer

Answer c. Early feeding may increase the risk of NEC in premature infants. The remaining statements are all correct about NEC.

Notes

This question originally printed in the Pediatric Anesthesiology Review Topics kindle book series, and appears courtesy of Naerthwyn Press, LLC.

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