| Author | 7 Posts |
nadiabarati
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A 5-month-old boy is brought to the emergency department by his parents because he has
been having crying spells alternating with lethargy for the past several hours. He was
apparently doing fine in the morning, and feeding well, when he suddenly started crying
painfully, drawing his legs to his chest and kicking them in the air. This would last for 10-15
minutes, and then he would act very tired and drowsy. First they thought it was colic, but after
several episodes of similar attacks he started vomiting and passed a stool that contained red
blood and mucus, and they immediately brought him to the hospital. He has no medical
problems and has been developing well. He is breast-fed and the mother had started adding
solids over the previous 3 to 4 weeks. On physical examination, the patient is a chubby infant
in moderate distress, pale, and diaphoretic. His temperature is 36.7 C (98.0 F), pulse is
100/min, and respirations are 22/min. A complete blood count and leukocyte differential are
within normal limits. His abdomen is mildly tender to palpation but not distended, and there is
a
sausage-shaped mass in the right hypochondrium. The right lower quadrant feels empty on
palpation. His stool is reddish in color and with hints of gelatinous material. A plain abdominal
radiograph shows absence of air in the right lower quadrant. Which of the following is the
most
appropriate next step in the treatment?
A. Barium enema
B. Immediate surgical reduction
C. Laparoscopy
D. Manual reduction
E. Observation in expectation of spontaneous resolution
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| yasmeen
Forum Guru
Topics: 67
Posts: 936
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A BARIUM ENEMA
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| yasmeen
Forum Guru
Topics: 67
Posts: 936
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ITS INTUSSUSSEPTIN BARIUMENEMA IS DIAGNOSTIC AS WELL AS THERAPAEUTIC
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| robin082006
Forum Hero
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A
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The Key to Succeed is Patience.
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| ssrpk
Forum Fanatic
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agree with A!
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life is guud
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| kity
Certified.............
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A.....
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NO PAIN .. NO GAIN ..
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| krsna
Forum Senior
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A
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