Ch. 333.3 - Intussusception Flashcards

1
Q

MCC of intestinal obstruction between 5 months and 3 years of age

A

Intussusception

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2
Q

MC abdominal emergency in children younger than 2yo

A

Intussusception

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3
Q

Many ___ and few ___ intussusceptions reduce spontaneously

A

Small bowel-small bowel; small bowel-colonic

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4
Q

Intussusception in infants 1 yr old or younger has been associated with ___ vaccine

A

Tetravalent rhesus-human reassortment rotavirus vaccine

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5
Q

T/F Recognizable lead points for intussusception are found in majority of affected patients

A

F, only 2-8%

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6
Q

Intussusception lead points are more common in what age group

A

> 2y/o and adults (90%)

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7
Q

Post operative intussusception is what type

A

Ileoileal

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8
Q

Type of intussusception associated with HSP

A

Ileal-ileal

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9
Q

MC type of intussusception

A

Ileocolic

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10
Q

T/F Most intussusceptions do not strangulate the bowel within the first 24 hours

A

T

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11
Q

Lethargy disproportionate to abdominal signs

A

Intussusception

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12
Q

Currant jelly stool is passed in 60% of patients with what condition

A

Intussusception

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13
Q

Classic triad of intussusception

A

1) Palpable sausage-shaped mass 2) Bloody or currant jelly stool 3) Pain

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14
Q

Combination of these 3 signs has a positive predictive value of >90% for intussusception

A

1) Paroxysmal pain 2) Vomiting 3) Palpable mass

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15
Q

MC location of sausage-shaped mass in intussusception

A

RUQ

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16
Q

Configuration of long axis of sausage-shaped mass of intussusception if it is in the RUQ

A

Cephalocaudal

17
Q

Configuration of long axis of sausage-shaped mass of intussusception if it is in the epigastrium

A

Transverse

18
Q

T/F Ileoileal intussusception in children less than 2 y/o presents chiefly with signs of small intestinal obstruction and resolves without treatment

19
Q

T/F Recurrent intussusception is seen more commonly after hydrostatic than surgical reduction

20
Q

Appearance of intussuception on UTZ

A

Tubular mass in the longitudinal view and doughnut or target appearance in the transverse view

21
Q

Ultrasound has a sensitivity and specificity of __ and ___ for intussusception

A

98-100, 98

22
Q

Positive test for intussusception by contrast enema

A

Filling defect or cupping in the head of the contrast media, or coiled-spring sign

23
Q

Hydrostatic vs air reduction for intus: Fewer complications and lower radiation exposure

A

Air reduction

24
Q

An ileoileal intussusception is best demonstrated by

25
T/F Untreated intus in infants is usually fatal
T
26
Most infants with intussusception recover if it is reduced within
First 24 hrs
27
Recurrence rate of intussusception after reduction
10%
28
Recurrence rate of intussusception after surgical reduction
2-5%
29
Most recurrences of intussusception occur within ___ of reduction
72 hrs
30
Drug that may reduce frequency of recurrent intus
Corticosteroids
31
Repeated reducible episodes of intus caused by lymphonodular hyperplasia may respond to
Treatment of identifiable food allergies if present