Surgery Paeds

Question 1

Intussusception features (5)

Answer 1

Paroxysmal abdo colic pain
Infant draws knees up 
Vomiting 
Bloody stool - redcurrant jelly = late sign 
Sausage mass in RUQ

Question 2

Management of intussusception

Answer 2

Fluid resus in dehydration or shock
NGT decompression of obstructed bowel

Air enema under radiological control
Surgery if failure of air insufflation or peritonitis