Intussception Flashcards
1
Q
What happens in intussception?
A
invagination of the small bowel into a distal segment of the large bowel
2
Q
What is intussception the most common cause of?
A
Most common cause of intestinal obstruction in children after neonatal period
3
Q
What is noted on examination?
A
‘Sausage shaped mass’ palpated in the abdomen
4
Q
The key defining feature of Intussception is
A
- Paroxysmal severe, colicky pain
- Child becomes pale and irritable
- Draws legs up towards the abdomen
5
Q
Early feature of intussception is;
A
Billous vomiting - characteristic of obstruction
6
Q
Late feature of intussception is;
A
- Red current jelly, blood stained mucus
7
Q
3 major clinical features of intussception are
A
- Paroxysmal colicky pain
- Billous vomiting
- Blood in faeces
8
Q
Ix (2)
A
- Abdominal X ray
2. Abdominal ultrasound
9
Q
Results of abdominal xray
A
- Distended small bowel
2. Absence of gas in the distal colon and rectum
10
Q
Tx
A
- IV fluids resus
2. Rectal air enema reduction
11
Q
Results of abdominal ultrasound
A
’ target like mass shown’
