Hopefully you've checked out part 1, part 2, and part 3. Though ileocolic is the most common type - small bowel-small bowel occur as well. Generally they present with similar symptoms (intermittent colicky pain etc,.). They are also diagnosed similarly with ultrasound being the best study, but [...]
Hopefully you've checked out part 1 and part 2 - Let's now shift the focus to the treatment. Nonoperative reduction OK, so you made the diagnosis of ileocolic intussusception - so let's fix this problem. The current standard is nonoperative reduction using pneumatic pressure - [...]
Welcome to part 2 of the intussusception series - check out part 1 here. Let's suppose that you work in a place without 24 hour ultrasound, and you get a toddler that is having intermittent episodes of belly pain. You think she has intussusception. You [...]
Ah, intussusception, the Mississippi (at least in terms of spelling) of medicine. For my latest series I thought I'd look into this common diagnosis in the Peds ED. Is it really that common? Well, it is the #1 cause of intestinal obstruction in children 6 [...]
A 3 year old previously presents to the ED with the chief complaint of "purple donut coming out of his butt" - seriously. It happened after he was going to the potty. The parents are understandably freaked out, and the child initially appeared mildly uncomfortable - [...]
[column col="1/2"]What is the Pediatric Appendicitis Score for the following patient? What does this score say about their risk of acute appendicitis? Does he need further testing to confirm the diagnosis? A 7 year old male presents with 18 hours of abdominal pain that was [...]