Intussuption Flashcards
What is intussusception?
a) The folding of the stomach lining
b) Telescoping of a segment of proximal bowel into downstream bowel
c) The enlargement of the colon
d) A condition where the intestine narrows
In which age group does most cases of intussusception occur, and what is the common cause in this group?
a) Adolescents, due to dietary factors
b) Infants 1-2 years old, often idiopathic
c) Older adults, due to chronic stress
d) Middle-aged individuals, due to autoimmune factors
What are the typical clinical manifestations of intussusception in infants?
a) Gradual onset of abdominal pain
b) Hyperactivity and restlessness
c) Sudden onset of crampy abdominal pain, knees drawn up, crying and episodes of pallor every 15-20 minutes , Feedings are refused ,Currant jelly stools and Between episodes of pain, the infant is glassy-eyed and groggy and appears to have been sedated.
d) Constipation and regular feedings
What is the term for the characteristic stool associated with intussusception?
a) Coffee ground stools
b) Hematochezia
c) Currant jelly stools
d) Mucus-covered stools
What diagnostic imaging technique is commonly used to identify and treat intussusception?
a) Abdominal X-ray
b) CT scan
c) Abdominal ultrasound
d) MRI
What initial treatment measures are recommended for a child with intussusception?
a) Immediate surgical intervention
b) Placement of an IV catheter and nasogastric tube
c) Observation without any medical intervention
d) Application of warm compresses to the abdomen
In cases where reduction is not complete through non-surgical methods, what is the next step in treatment?
a) Repeat the enema procedure
b) Administer pain relief medication
c) Proceed with emergency surgery
d) Continue with IV fluid resuscitation
In young children → ———- intussusception is common
B
B(Viral-induced lymphoid hyperplasia may produce a lead point)
C
C
C(Pneumatic or contrast enema under fluoroscopy, indicated:
➢ If the ultrasound is positive, or if good visualization has not been achieved
➢ This is a potentially useful way to both identify and treat intussusception.)
B (Before radiologic intervention is attempted, the child must have adequate fluid resuscitation to correct the often severe dehydration caused by vomiting and third space losses.Ultrasound may be performed before the fluid resuscitation is complete)
C
Iliocolonic
