PER meeting 1223

1 y/o girl with nausea/vomiting and intermittent irritable crying for one day. POCUS image is as shown. What is the most probable diagnosis?

• Intussusception

• hypertrophic pyloric stenosis

• Emphysematous pyelonephritis

8 months old male, constipation for four days, nausea/vomiting and intermittent irritable crying for two days. Diagnosed with intussusception at ED. Barium reduction was arranged and results are as shown in image. What next?

• May try clear fluids and advance the diet as tolerated

• Consult pediatric surgeon for possible bowel perforation

• Second attempt at non-operative reduction since the first attempt was only partly successful

1 y/o female, with nausea/vomiting for one day and currant jelly stool for one night, POCUS as follows, what is the most probable diagnosis?

• Intussusception

• necrotizing enterocolitis

• Stool impaction

1 y/o boy with constipation for several days, nausea/vomiting, and intermittent irritable crying for 1-2 days. CT is as shown. What is the most probable diagnosis?

• necrotizing enterocolitis

• Intussusception

• hollow organ perforation

下列哪一項非腸套疊透視灌注復位術之禁忌症?

• 腸套疊時間超過72小時者

• 嚴重的腸阻塞

• 腹膜炎或腸穿孔

• 以上皆為禁忌症