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Quick Scroll A 6-month-old infant has crying spells followed by passage o 04.27.04 (4 years ago) #1
A 6-month-old infant has crying spells followed by passage of bloody stools. On examination of abdomen a sausage shaped mass is palpable around the umbilicus. Investigation of choice in this case would be:
A. Barium enema
B. Barium meal
C. Gastroscopy
D. Sigmoidoscopy
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Quick Scroll 04.27.04 (4 years ago) #2
Barium enema
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Quick Scroll 04.27.04 (4 years ago) #3
it lsounds like intussception so the choice of investigation should be barium enema.. it might treeat the case 2
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Quick Scroll 04.27.04 (4 years ago) #4
Barium enema is the investigation of choice which sometimes reduce the intussusception. But in experienced hands U/S abdomen is also very useful to diagnose.
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Quick Scroll 05.01.04 (4 years ago) #5
BARIUM ENEMA! BUT USG has it's own advantages!
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Quick Scroll 08.22.04 (4 years ago) #6
the most important test in intussuseption is 'contrast enema' which is diagnostic and therapeutic in60-80percent of cases............contrast enema, either using barium or air, however should not be attempted until the pt. is not resuscitated enough to allow an operative procedure.barium enema will not reduce gangrenous bowel. 8)
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Quick Scroll 08.23.04 (4 years ago) #7
Ans: B.Barium meal

In question is saying about sausage shape mass around umbilicus--- therefore we can think about ileoileal intussesception. So, barium enema IS NOT useful for it. Barium meal could be reasonable.

First Aids for Pediatrics clerkship, 2004, p.132

Sanya
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Quick Scroll PEDIATRICS-NEONATOLOGY 01.11.06 (2 years ago) #8
IT'S ENEMA
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Quick Scroll 05.01.06 (2 years ago) #9
Barium enema, sure!

It's intussusception, & enema might be of therapeutic value...
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Quick Scroll 05.02.06 (2 years ago) #10
THANKS PARIN FOR CONFIRMATION.
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