Authors: Sarah Devine / Editor: Steve Corry-Bass / Codes: HCPS4i / Published: 09/08/2018
A 10-month-old boy is brought in to the emergency department by his parents. They report he has been vomiting and unsettled throughout the day but the vomiting has worsened and is now green. They report at times ‘he seems to be fine and then will cry uncontrollably’. He has not opened his bowels today. He has been growing well and has no relevant birth/medical history.
His observations are as follows:
Oxygen Saturation: 98%
Temp: 37.7 C
CRT: 3 seconds
On examination he appears unsettled and is drawing his knees upwards. His abdominal examination reveals a lack of fullness in his left lower quadrant. He is clinically dehydrated. There are no other positive examination findings.
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Question 1 of 3
You move him to the resuscitation area; you attempt IV access twice but fail. What is the next appropriate step?CorrectIncorrect
Question 2 of 3
He improves following a fluid bolus and an urgent ultrasound scan of his abdomen is performed (seen below). The ultrasound appearance is in keeping with:CorrectIncorrect
Question 3 of 3
Which of the following is not a typical feature of early intussusception?CorrectIncorrect