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Intussusception

Category

8
3
131

Altered Level of Consciousness

<p><span style="color: #333333; font-size: small;">This episode covers an approach to children with altered level of consciousness. &nbsp;We present an approach to the initial management in these cases, with a focus on the ABC and DFG approach. Investigations and imaging are discussed. Some specific causes of altered LOC are covered. &nbsp;This episode was written by Peter MacPherson and Dr. Melanie Lewis. Peter is a medical student at the University of Alberta. Dr. Lewis is a general pediatrician and an Associate Professor of Pediatrics at the University of Alberta and Stollery Children's Hospital. She is also the Clerkship Director.&nbsp;</span></p <p><span style="color: #333333; font-size: small;">~~~</span></p <p><!--StartFragment--></p <p class="MsoNormal"><span style="font-family: Times;"><span style="font-size: small;"> <!--StartFragment--> </span></span></p <p class="MsoNormal"><span style="font-family: Verdana;">Differential Diagnosis of Altered Level of Consciousness:</span></p <p class="MsoNormal"><span style="font-family: Verdana;">1) Structural causes: cerebrovascular accident, cerebral vein thrombosis, hydrocephalus, intracerebral tumor, subdural empyema, trauma (intracranial hemorrhage, diffuse cerebral swelling, abusive head trauma/shaken baby syndrome)</span></p <p class="MsoNormal"><span style="font-family: Verdana;">2) Medical causes: anoxia, diabetic ketoacidosis, electrolyte abnormality, encephalopathy, hypoglycemia, hypothermia or hyperthermia, infection (sepsis), inborn errors of metabolism, intussusception, meningitis or encephalitis, psychogenic, postictal state, toxins, uremia (hemolytic-uremic syndrome)</span></p <div style="border: none; border-bottom: solid windowtext .75pt; padding: 0in 0in 1.0pt 0in;" <p class="MsoNormal" style="border: none; mso-border-bottom-alt: solid windowtext .75pt; padding: 0in; mso-padding-alt: 0in 0in 1.0pt 0in;"><span style="font-family: Verdana;">Adapted from: Avner J (2006) Altered states of consciousness. <em>Pediatr Rev</em></span><span style="font-family: Verdana;"> 27: 331-338.</span></p </div <p>&nbsp;</p>  
Pedscases.Com
over 9 years ago
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1
15

Intussusception

This is a condition where-by one piece of bowel will ‘telescope’ inside another piece, resulting in obstruction, and sometimes ischaemia. Usually it is a piece of proximal bowel passing inside a more distal piece Most commonly, the distal ileum passing through the ielocaecal valve into the colon Requires urgent treatment   Epidemiology and aetiology Usually occurs between 3 months and 3 years  
almostadoctor.com - free medical student revision notes
over 5 years ago
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0
13

Intussusception Part 3: Air it out

OK, so you made the diagnosis of ileocolic intussusception – so let’s fix this problem. The current standard is nonoperative reduction using pneumatic pressure – the Air Contrast Enema. Some facilities use hydrostatic pressure with barium, normal saline or water soluble contrast material as well. The technique is performed under fluoroscopy to watch the intussusception reduce in real time and is 80-95% successful. Reduction under ultrasound with normal saline as the contrast material is also an option. Early studies indicate similar success rates as fluoroscopy without the downsides of radiation exposure. Check out this article for more info.  
pemcincinnati.com
over 4 years ago
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0
5

Intussusception Part 1: The basics

Ah, intussusception, the Mississippi (at least in terms of spelling) of medicine. For my latest series I thought I’d look into this common diagnosis in the Peds ED.  
pemcincinnati.com
over 4 years ago
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0
52

Pediatric POCUS | EM Cases

Jason Fisher, Alyssa Abo, Adam Sivitz & Alex Arroyo discuss their favorite pediatric POCUS applications, appendicitis, intussusception, lung POCUS, nerve blocks  
emergencymedicinecases.com
over 4 years ago
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0
5

Adult Intussusception: Not Like Trix, Not Just for Kids - emdocs

emDocs post containing very useful emergency medicine information  
emdocs.net
over 4 years ago
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0
10

Intussusception and Midgut Volvulus | EMBlog Mayo Clinic

Authors: Jessica Stanich, M.D. & Fernanda Bellolio, M.D. via EM Reports Click here for the article    
emblog.mayo.edu
over 4 years ago
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0
6

Intussusception and Midgut Volvulus | EMBlog Mayo Clinic

Authors: Jessica Stanich, M.D. & Fernanda Bellolio, M.D. via EM Reports Click here for the article    
emblog.mayo.edu
over 4 years ago
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2
15

Clinical Practice Guidelines : Intussusception

Intussusception is the invagination of a proximal segment of bowel into the distal bowel lumen. The commonest occurrence is a segment of ileum moving into the colon through the ileo-caecal valve. It may occur at any age but commonly occurs in the 2 month to 2 year age group with a peak incidence at 5 to 9 months.  
rch.org.au
almost 4 years ago