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Quick Scroll A-12-month-old male child suddenly draws up his legs and scr 04.27.04 (4 years ago) #1

A-12-month-old male child suddenly draws up his legs and screams with pain. This is repeated periodically throughout the night interspersed with periods of quiet sleep. When seen after 12 hours, the child looks pale, has just vomited and passed thin blood stained stool; there is a mass around umbilicus. The most likely diagnosis is:
A. Appendicitis
B. Intussusception
C. Gastroenteritis
D. Round worm obstruction
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Quick Scroll 04.27.04 (4 years ago) #2

classical presetation of intusussception.
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Quick Scroll 04.29.04 (4 years ago) #3

looks like intusseception.
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Quick Scroll 04.29.04 (4 years ago) #4

Even I guess its bound to be intussusception.
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Quick Scroll 08.22.04 (3 years ago) #5

intussusception definitely-
the typical pt. is a healthy child who suddenly begins to cry and doubles up bcos of abdominal pain..pain lasts for about a min. alternating with intervals of apparent wellbeing. reflux vomiting is an early sign, but vomiting due to bowel obstruction occurs late...blood and mucus produce a 'currant jelly' stool......in small infants, colicky pain may not be apparent....here most imp sign will be vomiting.
a mass is usually palpable along the distribution of the colon..

m/c form of intussesption is terminal ileum into right colon
intusseption is the m/c/c of intestinal obstruction in children under 2yrs
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Quick Scroll 05.05.05 (3 years ago) #6

agree
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Quick Scroll PEDIATRICS-NEONATOLOGY 01.25.06 (2 years ago) #7

YOU ARE RIGHT.
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Quick Scroll 06.15.06 (2 years ago) #8

B. Intussusception
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Quick Scroll 08.20.06 (1 year ago) #9

Typical intussusception.Note that classicaly a child will have pallor with the bouts of screaming.
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Quick Scroll 12-month with crying, drawing legs 09.08.06 (1 year ago) #10

Intussusception, based on the scenario
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