12.3 Bowel Obstruction Interssusception

Question 1

3 types of mechanical blockages for bowel?

Answer 1

Luminal
Mural
External

Question 2

Types of luminal blockages?

Answer 2

Meconium ileus

Bazaars (hair balls)

Question 3

Types of mural blockages? 3 kinds

Answer 3

• Atresia/stenosis
• hirschsprung
• crohn’s

Question 4

External causes of bowel obstruction, main one:

Answer 4

Volvulus
Bands
Hernias
Interssuception

Question 5

3 paralytic causes of bowel obstruction?

Answer 5

Infective
Toxic
Intrinsic

Question 6

2 main consequences of bowel obstruction?

Answer 6

• Distension

- increased bowel activity proximally

Question 7

Bowel obstruction

4 CARDINAL signs of obstruction?

Answer 7

Distension
Pain
Constipation
Bilious vomiting

Question 8

What ages for intussusception?

Answer 8

3 months to 2 years

Question 9

intussusception primary cause?

Answer 9

Hypertrophy of peyer’s patches

Question 10

Most common cause of secondary intussusception?

Answer 10

Mickel’s diverticula

Question 11

intussusception presentation?

Answer 11

• Pain - episodic, pale lethargic
• vomiting: first non-bilious then bilious
• Blood - PR - red currant jelly
• Mass - least common <50%

Question 12

What to watch out for if baby has symptoms of gastro but doesn’t settle in 24 hours?

Answer 12

Reassess

?atypical presentation of intussesception

Question 13

intussusception treatment?

Answer 13

IV, Abx

• NGT
• hydrostatic reduction
• ?surg

Question 14

intussusception risk of recurrence?

Answer 14

5%

Question 15

How to test for intussusception success?

Answer 15

Jam and charcoal

24 hour transit time