A new born with recurrent vomiting, cyanosis after each feed is likely to be suffering from –
## **Core Concept**
The question tests the understanding of congenital anomalies that could cause vomiting and cyanosis in a newborn, particularly after feeding. This scenario suggests a condition that involves both gastrointestinal and cardiovascular systems.
## **Why the Correct Answer is Right**
The correct answer, **C.**, implies a condition such as **esophageal atresia with tracheoesophageal fistula (EA-TEF)**. In EA-TEF, the esophagus is not properly connected to the stomach, and there might be an abnormal connection (fistula) between the esophagus and the trachea. When a newborn with EA-TEF feeds, the milk can reflux into the airway through the fistula, leading to **vomiting** and **aspiration**, which causes **cyanosis** due to the obstruction of the airway.
## **Why Each Wrong Option is Incorrect**
- **Option A:** This option is incorrect because, although it could represent a congenital anomaly, it does not specifically suggest EA-TEF or a similar condition that would cause both vomiting and cyanosis after feeding.
- **Option B:** This option does not provide enough information to directly link it to the symptoms described but is less likely to represent EA-TEF or a condition causing both symptoms.
- **Option D:** This option might represent other congenital anomalies but does not directly correlate with the symptoms of recurrent vomiting and cyanosis after feeding as effectively as EA-TEF.
## **Clinical Pearl / High-Yield Fact**
A key clinical pearl is that **esophageal atresia with tracheoesophageal fistula** often presents with **vomiting**, **cyanosis**, and **coughing/choking during feeds**. A classic sign is the inability to pass a nasogastric tube into the stomach. Early recognition and surgical intervention are critical.
## **Correct Answer:** . **C. Esophageal atresia with tracheoesophageal fistula**.