Intussusception - Making the Diagnosis

Опубликовано: 18 Декабрь 2024
на канале: citizensurgeon

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Intussusception is a challenging diagnosis to make and being able to take a history, elicit signs in the exam and choose the appropriate imaging is so important.

In this video I'm going to take you through intussusception and how I approach it as a pediatric surgeon.

If you haven't had a chance to check out the most recent video on intussusception...understanding what it is and why it happens definitely check that out!

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When you take a history for intussusception the most common finding is progressive intermittent abdominal pain in a child under the age of five.

On physical exam you may see Dance's sign or emptiness in the right lower quadrant, you may have a "sausage shaped" abdominal mass or commonly you may have a completely benign abdomen.

The most sensitive imaging test to diagnose intussusception is ultrasound and cross sectional imaging should not be used as a first line diagnostic modality.

Check out these AMAZING timestamps and fast forward if you need to:

Start 00:00
How to Diagnose Intussusception - Taking a History 03:00
Findings on physical exam in intussusception 06:30
Imaging to make the diagnosis in intussusception 08:46

REFERENCES
Ashcraft https://citizensurgeon.co/Ashcraft

WHO AM I?
I'm Dr. Erik Pearson, FACS and I am a board certified pediatric surgeon living in Las Vegas. I make surgical education videos on all topics in general surgery as well as talks on lifestyle design as a surgeon, book reviews, and studying effectively. I also write a weekly newsletter called the Saturday Six where I identify Six different discoveries of the week. You can get the weekly newsletter by signing up to the CITIZENSURGEON Community!

DISCLAIMER
While my aim is to help educate you for the ward, the surgical ICU, the operating room and your exams remember these videos are not a replacement for your reading, your medical school and residency preparation and most important your own decision making. If you have medical questions definitely consult a medical professional. Good luck and enjoy!

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