Intussusception
What is it?
Intussusception occurs when a portion of the intestine folds like a telescope, with one segment slipping inside another segment. It can occur anywhere in the intestines. This causes an obstruction, preventing the passage of food that is being digested through the intestine.
Etiology
The cause of intussusception is not known. Though rare, an increased incidence of developing intussusception may be seen in children:
· Who have abdominal or intestinal tumors or masses
· Who have appendicitis
Occurrence/Epidemiology
Children less than 3 years old, can also occur in older children, teenagers, and adults.
· Intussusception occurs more often in boys than girls.
Clinical Presentation
(subjective and physical examination)
Subjective: Pain, Sudden loud crying, Straining, Draw knees up, Irritable.
Objective: red mucus or jelly like stool, fever, lethargic, vomiting bile, diarrhea, sweating, dehydration, abdominal distention or lump.
Diagnostic Testing
X-Ray: may demonstrate an elongated soft tissue mass with a bowel obstruction proximal to it.
Ultrasound: ‘Target Sign’
also known as the doughnut sign or bull’s eye sign. appearance is generated by concentric alternating echogenic and hypoechogenic bands.
Upper & Lower GI Series (Barium Swallow & Enema): giving the “coiled spring” appearance
3 Differential Diagnosis
(include difference between each differential diagnosis & the main diagnosis)
Intussusception:
Pain, sudden crying, red mucus or jelly like stool, fever, lethargic, vomiting bile, diarrhea, sweating, dehydration, abdominal distention or lump.
Gastroenteritis: vomiting that are typically nonbilious, often with anorexia, fever, lethargy, and diarrhea.
NO JELLY LIKE STOOL
Gastric Volvulus: Epigastric pain tenderness and distention, vomiting, bloody diarrhea
NO JELLY LIKE STOOL,
Appendicitis: abdominal pain that has migrated from a periumbilical position to the right lower quadrant.
NO JELLY LIKE STOOL, NOR MASS
Non-Pharmacologic Management
There are currently no non pharmacological treatments.
Pharmacologic Management
May fix itself while being diagnosed with barium enema. Air enema (aids in moving intestines back).
Antibiotics if infection present
Surgery: push the telescoped intestine back out. Rare cases a resection of intestines may happen, and stoma created.
Follow Up
With toleration of diet, patients treated with nonoperative reduction are usually discharged 12-18 hours after the therapeutic enema. After operative reduction, postoperative progress dictates the length of stay.
References
Blanco, F. C., Chahine, A. A., King, L., & Wilkes, G. (2017, July 3). Intussusception: Practice Essentials, Background, Etiology and Pathophysiology. Retrieved from http://emedicine.medscape.com/article/930708-overview#a1
Crawford, E. (2015). NP-Family Specialty Review and Study Guide: A Series from StatPearls. Retrieved from https://books.google.com/books?id=86ybCgAAQBAJ&dq=intussusception+np+questions&source=gbs_navlinks_s
Epocraties. (2017). Intussusception Differential Diagnosis – Epocrates Online. Retrieved from https://online.epocrates.com/diseases/67935/Intussusception/Differential-Diagnosis
Shah, V., & Amini, B. (2017). Intussusception | Radiology Reference Article | Radiopaedia.org. Retrieved from https://radiopaedia.org/articles/intussusception
- WE OFFER THE BEST CUSTOM PAPER WRITING SERVICES. WE HAVE DONE THIS QUESTION BEFORE, WE CAN ALSO DO IT FOR YOU.
- Assignment status: Already Solved By Our Experts
- (USA, AUS, UK & CA PhD. Writers)
- CLICK HERE TO GET A PROFESSIONAL WRITER TO WORK ON THIS PAPER AND OTHER SIMILAR PAPERS, GET A NON PLAGIARIZED PAPER FROM OUR EXPERTS
QUALITY: 100% ORIGINAL PAPER – NO ChatGPT.NO PLAGIARISM – CUSTOM PAPER
Looking for unparalleled custom paper writing services? Our team of experienced professionals at AcademicWritersBay.com is here to provide you with top-notch assistance that caters to your unique needs.
We understand the importance of producing original, high-quality papers that reflect your personal voice and meet the rigorous standards of academia. That’s why we assure you that our work is completely plagiarism-free—we craft bespoke solutions tailored exclusively for you.
Why Choose AcademicWritersBay.com?
- Our papers are 100% original, custom-written from scratch.
- We’re here to support you around the clock, any day of the year.
- You’ll find our prices competitive and reasonable.
- We handle papers across all subjects, regardless of urgency or difficulty.
- Need a paper urgently? We can deliver within 6 hours!
- Relax with our on-time delivery commitment.
- We offer money-back and privacy guarantees to ensure your satisfaction and confidentiality.
- Benefit from unlimited amendments upon request to get the paper you envisioned.
- We pledge our dedication to meeting your expectations and achieving the grade you deserve.
Our Process: Getting started with us is as simple as can be. Here’s how to do it:
- Click on the “Place Your Order” tab at the top or the “Order Now” button at the bottom. You’ll be directed to our order form.
- Provide the specifics of your paper in the “PAPER DETAILS” section.
- Select your academic level, the deadline, and the required number of pages.
- Click on “CREATE ACCOUNT & SIGN IN” to provide your registration details, then “PROCEED TO CHECKOUT.”
- Follow the simple payment instructions and soon, our writers will be hard at work on your paper.
AcademicWritersBay.com is dedicated to expediting the writing process without compromising on quality. Our roster of writers boasts individuals with advanced degrees—Masters and PhDs—in a myriad of disciplines, ensuring that no matter the complexity or field of your assignment, we have the expertise to tackle it with finesse. Our quick turnover doesn’t mean rushed work; it means efficiency and priority handling, ensuring your deadlines are met with the excellence your academics demand.
