Review Note

Last Update: 05/20/2024 10:47 PM

Current Deck: SLS Cards::4. Newborn health issues

New Card (Unpublished)

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Field Change Suggestions:
Describe the difference in presentation between intussusception and pyloric stenois.
Intussusception will present most commonly at age 6 mos - 3 yo. On history, there will be jelly or currant-like fecal consistency with hematochezia and mucus; severe, intermittent abdominal pain (colicky pattern); non-bilious or bilious vomiting depending on obstruction progression. On exam, there may the child pulling legs up to chest; a palpable abdominal mass in RUQ or periumbilical regions.

Pyloric stenosis will present most commonly at age 2 - 8 weeks. On history, there will be projectile non-bilious vomiting, early satiety, irritability from hunger, failure to thrive. On exam there may be evidence of dehydration, visible peristalsis, and an olive-shaped epigastric mass.