tolito Forum Fanatic
Topics: 119 Posts: 2,174
| | 09/06/06 - 08:21 PM  
 
   
 
|   #1 |
18mo old boy passes red currant jelly stool. differentials? differentiate between differentials.
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| study_ing Forum Fanatic

Topics: 180 Posts: 2,511
| | 09/07/06 - 10:18 AM  
 
   
 
|   #2 |
- Venous engorgement and ischemia of the intestinal mucosa cause bleeding and an outpouring of mucous, which results in the classic description of red "currant jelly" stool.
- in this age group i'd think intussusseption.
- Two thirds of the cases occur before the patient's first birthday.
- Intussusception occurrence is rare in persons younger than 3 months, and it becomes less common in persons older than 36 months.
- other differentials..hmm possibly infectious etiology..need to think abt this one

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| icemaiden Forum Elite
Topics: 9 Posts: 117
| | 09/07/06 - 07:12 PM  
 
   
 
|   #3 |
meckel diverticulum
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| tolito Forum Fanatic
Topics: 119 Posts: 2,174
| | 09/07/06 - 10:45 PM  
 
   
 
|   #4 |
intussusception is associated with pain usually while meckel's diverticulum is usually painless. meckel has rule of 2's. meckel's may be associated with intussception: acts as leading point.
___________________ It has been a looooong hard journey but I am inches away from my destination...
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