T2: GI Disorders: Intussusception

Question 1

Most common cause of intestinal obstruction in the first 2 years of life

Answer 1

Intussusception

Question 2

What is the peak incidence of intussusception?

Answer 2

5-9 months of age

Question 3

When does incidence of intussusception increase?

Answer 3

Spring, summer, and middle of winter

Question 4

Intussusception is more common in children with __

Answer 4

CF

Question 5

Patho of intussusception: ____ of one portion of the intestine into another

Answer 5

Telescoping

Question 6

What is the most common site of intussusception?

Answer 6

Ileocecal valve

Question 7

What does invagination cause?

Answer 7

Obstruction to the flow of the intestinal contents

Question 8

What decreases blood flow?

Answer 8

Edema and inflamation

Question 9

If blood flow is decreased, what happens?

Answer 9

Ischemia, performation, peritonitis, shock

Question 10

What are some physical findings of intussusception?

Answer 10

• Colicky
• Abdominal pain
• CURRANT JELLY LIKE STOOLS (know this!!)
• Fever sometimes
• SAUSAGE LIKE MASS IN RUQ may be palpated (know this!!)
• Distended abdomen, pain on palpation

Question 11

What are some management techniques of intussusception?

Answer 11

• Enema
• Barium
• Water soluble contrast and air pressure
• IV fluids
• NG compression
• Antibiotic therapy
• Emergency referral for surgery