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Intussusception Case Study Essay

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My first differential diagnosis for J. T is intussusception. Intussusception is the main cause of intestinal obstruction in infants and toddlers and is seen when one portion of the small intestine segment slips into another segment (Fotso Kamdem et al., 2017). My primary reason for choosing intussusception was the symptoms are similar to J. T. symptoms. It affects infants and toddlers and the classic symptoms are colicky, vomiting abdominal pain and at times bloody stools (Reust, & Williams, 2016). According to (Reust, & Williams (2016), children with intussusception often times has a palpable sausage-shaped mass in their abdomen. The pertinent positives were abdominal pain, sausage-like mass in the right quad, bloody stools, and vomiting. Intussusception is diagnosed by doing an abdominal ultrasound, which is considered the most reliable tool for diagnosing (Lim et al., 2015). The treatment for intussusception should not be delayed. As per Yushui, Zhengyin, & Kai (2017), based on clinical practice, the success rate with the use of guided hydrostatic reposition was 90% in the treatment of intussusception in three months to two years old.
(2) Malrotation ICD 10 - Q43.3 …show more content…
Malrotation is an abnormality, which causes the infants intestine to form incorrectly. Although malrotation can occur at any age, the classic symptom in infants is bile vomiting due to obstruction of the duodenal (El Basatiny, & Abdella, 2015). Other presenting symptoms include abdominal pain, fever and nonbilious emesis (El Basatiny, & Abdella, 2015). My rationale for choosing malrotation was because of the symptoms of abdominal pain, lethargy, blood in stool and pale color, which are similar symptoms seen in J. T. The pertinent positive were the similar symptoms that J. T had, but the pertinent negative was the fever, which accompanied this disorder, but was not seen in J.

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