intussusception Flashcards
1
Q
what
A
bowel invaginates into itself
thickens overall size of bowel and narrows lumen in folded area
obstruction of passage of feces
2
Q
most often seen in
A
infants 6mo-2yrs
more common in boys
3
Q
assoc conditions
A
concurrent viral illness HSP CF intestinal polyps meckel's diverticulu
4
Q
presentation
A
severe, colicky abdo pain pale, lethargic, unwell child redcurrant jelly stool RUQ mass - sausage shaped vomit intestinal obstruction
5
Q
initial Ix
A
USS - target sign
6
Q
Ix options
A
USS
contrast enema
7
Q
Mx
A
therapeutic enema
surgical reduction
8
Q
complications
A
obstruction
gangrenous bowel
perforation
