PA Boards 51: Intussusception
Medgeeks with Andrew Reid
Medgeeks
4.8 • 997 Ratings
🗓️ 19 September 2014
⏱️ 10 minutes
🧾️ Download transcript
Summary
Today were going to speak on intussusception. Key points: triad of abdominal pain, vomiting, and currant jelly stool. Bilious vomiting is a surgical condition until proven otherwise. Ultrasound is the first test which should be ordered. Contrast enema is diagnostic and therapeutic.
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Transcript
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| 0:00.0 | What's going on guys and welcome to episode 51 of the Physician |
| 0:03.4 | System boards.com podcast and today's episode is going to be on inter-sception |
| 0:08.9 | now intersception can be a pretty difficult diagnosis to make clinically, but come the boards, it's a pretty easy diagnosis to make, right? |
| 0:18.0 | They're going to give you exactly what you need to know to make the diagnosis. Now as far as clinical practice goes, |
| 0:25.0 | it's a little bit more difficult because of the vague symptoms that are presented to you by the child. |
| 0:31.0 | And the child is usually going to be under one years of age, so they can't really express how they feel. |
| 0:36.0 | Now into seception, what that is is the |
| 0:39.5 | intestine itself will slide or invaginate into another part of the intestine. |
| 0:44.4 | Right? So this is also called telescoping and the most common location is going to be |
| 0:49.2 | the IlioCCO region. So just imagine part of the intestine sliding into the other part of the |
| 0:58.0 | intestine similar to what a telescope would do as you slide in and out, right? |
| 1:02.0 | That's what into-sception is. Now ultimately |
| 1:05.9 | this could lead to bowel obstruction which could lead to gangrene and |
| 1:10.0 | perforation. So it's a pretty you know it's a diagnosis that you need to make as soon as possible. |
| 1:15.3 | Now usually you're going to see this in patients over five months of age and under one year of |
| 1:20.7 | age. However it can definitely happen in older children and in adults, |
| 1:24.6 | however, it's a lot more rare. So really what you're looking for is a child under one |
| 1:28.8 | over five months of age, especially for the boards. Now why this happens the ideology is really not known |
| 1:35.7 | especially in the younger children under one it's really not known why it happens. |
| 1:39.6 | The older the child gets so that you know you know, over three years of age, a lot of times there's something called the lead point, which is a mass. |
| 1:48.0 | It could be a tumor, it could be a polyp, assist, what have you, and that in itself can lead to the insusception. |
| 1:56.4 | But for the most part, the ideology is unknown. |
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