Newborn
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Obstructive intestinal anomalies
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Esophageal stenosis/atresia, pyloric stenosis, intestinal stenosis/atresia, malrotation ± volvulus, incarcerated hernia, meconium ileus/plug, Hirschsprung disease, imperforate anus, enteric duplications
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Neurologic
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Intracranial bleed/mass, hydrocephalus, cerebral edema, kernicterus
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Renal
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Urinary tract infection, obstructive uropathy, renal insufficiency
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Infectious
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Viral illness, gastroenteritis, meningitis, sepsis
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Metabolic/endocrine
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Inborn errors of metabolism (urea cycle, amino/organic acid, carbohydrate), congenital adrenal hyperplasia
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Miscellaneous
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Ileus, gastroesophageal reflux, necrotizing enterocolitis, milk allergy, GI perforation
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Infant (<12 mo)
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Obstructive intestinal anomalies
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Pyloric stenosis, malrotation ± volvulus, incarcerated hernia, Hirschsprung disease, enteric duplications, intussusception, foreign body, bezoars, Meckel diverticulum
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Neurologic
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Intracranial bleed/mass, hydrocephalus, cerebral edema
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Renal
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Urinary tract infection, obstructive uropathy, renal insufficiency
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Infectious
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Viral illness, gastroenteritis, meningitis, sepsis, otitis media, pneumonia, pertussis, hepatitis
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Metabolic/endocrine
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Inborn errors of metabolism, adrenal insufficiency, renal tubular acidosis
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Miscellaneous
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Ileus, gastroesophageal reflux, post-tussive, peritonitis, drug overdose
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Child (>12 mo)
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Obstructive intestinal anomalies
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Malrotation ± volvulus, incarcerated hernia, Hirschsprung disease, intussusception, foreign body, bezoars, Meckel diverticulum, acquired esophageal stricture, peptic ulcer disease, adhesions, superior mesenteric artery syndrome
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Neurologic
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Intracranial bleed/mass, cerebral edema, postconcussive, migraine
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Renal
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Urinary tract infection, obstructive uropathy, renal insufficiency
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Infectious
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Viral illness, gastroenteritis, meningitis, sepsis, otitis media, pneumonia, hepatitis, streptococcal pharyngitis
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Metabolic/endocrine
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Inborn errors of metabolism, adrenal insufficiency, renal tubular acidosis, diabetes mellitus, Reye syndrome, porphyria
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Miscellaneous
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Ileus, gastroesophageal reflux, post-tussive, peritonitis, drug overdose, appendicitis, pancreatitis, gastritis, Crohn disease, pregnancy, psychogenic, cyclic vomiting syndrome
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