This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Pediatrics
[{'content': 'Which one of the following is most suggestive of neonatal small bowel obstruction - \nSelect and explain. \nA. Generalized abdominal distension, B. Failure to pass meconeum in the first 24 hours, C. Bilious vomiting, D. Refusal of feeds', 'role': 'user'}, {'content': 'Answer: C \nExplanation: Ans. is \'c\' i.e., Bilious vomiting "Bilious vomiting is the most common symptom". -- Internet Intestinal obstruction in newborn Presentation depends on the site of obstruction. 1. Proximal obstruction o A history ofpolyhydramnios is common. o The higher the obstruction in the intestine the earlier the infant will develop vomiting which may be bile stained. o Abdominal distension will be less prominent. o Obstipation is less common. 2. Distal obstruction o Abdominal distension and obstipation are more common. o Vomiting is less common. Note ? In neonates proximal intestinal obstruction are much more common than distal. So, bilious vomiting is the most common presentation of neonatal intestinal obstruction.', 'role': 'assistant'}]