Intussusception Flashcards

1
Q

What is the condition characterized by a section of the bowel telescoping into its distal section?

A

Intussusception

This condition leads to bowel obstruction.

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2
Q

At which anatomical location is intussusception most commonly observed?

A

Ileocaecal valve

This is the most common site for intussusception.

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3
Q

What age group is most affected by intussusception?

A

Infants between 3 months and 2 years

It is also more common in boys.

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4
Q

List some associated conditions with intussusception.

A
  • Viral illness
  • Henoch-Schonlein purpura
  • Cystic fibrosis
  • Intestinal polyps
  • Meckel diverticulum
  • Lymphomas and leukemias

These conditions may contribute to the development of intussusception.

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5
Q

What are the key symptoms in the triad of intussusception?

A
  • Intermittent, severe abdominal pain (knees drawn to chest)
  • Vomiting (bilious in later stage)
  • Redcurrant jelly stool (late feature)

These symptoms help in the clinical diagnosis of intussusception.

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6
Q

What is a notable physical examination finding in intussusception?

A

Sausage-shaped mass palpable in RUQ

This finding can indicate the presence of intussusception.

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7
Q

What is the gold-standard diagnostic tool for intussusception?

A

Ultrasound scan

It may show the target or doughnut sign.

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8
Q

What are the initial management steps for intussusception?

A
  • IV fluids
  • Analgesia
  • NG tube
  • Nil-by-mouth

These steps help stabilize the patient before definitive management.

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9
Q

What are the two main types of definitive management for intussusception?

A
  • Non-surgical (therapeutic enemas: air or water)
  • Surgical (surgical reduction or bowel resection)

These options depend on the severity and circumstances of the case.

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