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143763 Pediatrics

A 4-week-old boy presents with a 10-day history of vomiting that has increased in frequency and forcefulness. The vomitus is not bile stained. The child feeds avidly and looks well, but he has been losing weight. An ultrasound of the abdomen is shown. Which of the following should be the next step in this patient’s management?

ASurgical consultation for pyloromyotomy
BUpper GI with small-bowel follow through
CIntravenous (IV) fluids alone to maintain hydration
DAir contrast enema
Pediatrics
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