Intussusception Flashcards

1
Q

What is intussusception

A

Where the bowel invaginates or telescopes itself, folding inwards which thickens the overall size of the bowel and narrows the lumen

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2
Q

Associated conditions with intussusception

A

Concurrent viral illness, HSP, CF, intestinal polyps, meckles diverticulum

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3
Q

Presentation of intussusception

A

Abdominal pain, pale, lethargic, unwell, bilious vomiting, intestinal obstruction, sausaged shape mass on RUQ on palpation

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4
Q

Type of abdominal pain

A

Severe, colicky pain where the infant reacts in bursts from the contractions

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5
Q

Late symptom

A

Red current jelly stool

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6
Q

Management of intussusception

A

US or contrast enema, therapeutic enemas can be used to try and reduce intussusception.
Contrast water or air are pumped into colon to force the folded bowel out into normal position.
Surgical reduction may be necessary

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7
Q

Complications of intussusception

A

Obstruction, gangrenous bowel, perforation, death

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8
Q

Common age for intussusception

A

Mostly 6-12 months, can be up to 36 months

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