write a gape files in conjunction with the Definition, etiology, Occurrence/epidemiology, Clinical

Intussusception

What’s it?

Intussusception occurs when part of the gut folds love a telescope, with one phase slipping inner one other phase. It will occur wherever in the intestines. This causes an obstruction, combating the passage of food that is being digested by plan of the gut.

Etiology

The motive in the inspire of intussusception just isn’t any longer identified. Though uncommon, an elevated incidence of developing intussusception will most doubtless be viewed in adolescents:

· Who like belly or intestinal tumors or hundreds

· Who like appendicitis

Occurrence/Epidemiology

Younger folks lower than 3 years susceptible, can also occur in older adolescents, adolescents, and adults.

· Intussusception occurs extra most incessantly in boys than ladies.

Clinical Presentation

(subjective and bodily examination)

Subjective: Disaster, Surprising loud crying, Straining, Plan knees up, Irritable.

Goal: crimson mucus or jelly love stool, fever, lethargic, vomiting bile, diarrhea, sweating, dehydration, belly distention or lump.

Diagnostic Testing

X-Ray: might maybe well maybe also merely impress an elongated refined tissue mass with a bowel obstruction proximal to it.

Ultrasound: ‘Goal Mark’

most incessantly identified because the doughnut mark or bull's leer mark. appearance is generated by concentric alternating echogenic and hypoechogenic bands.

Upper & Decrease GI Series (Barium Swallow & Enema): giving the “coiled spring” appearance

3 Differential Prognosis

(encompass difference between every differential prognosis & the foremost prognosis)

Intussusception:

Disaster, surprising crying, crimson mucus or jelly love stool, fever, lethargic, vomiting bile, diarrhea, sweating, dehydration, belly distention or lump.

Gastroenteritis: vomiting that are most incessantly nonbilious, most incessantly with anorexia, fever, lethargy, and diarrhea.

NO JELLY LIKE STOOL

Gastric Volvulus: Epigastric effort tenderness and distention, vomiting, bloody diarrhea

NO JELLY LIKE STOOL,

Appendicitis: belly effort that has migrated from a periumbilical plot to the specific lower quadrant.

NO JELLY LIKE STOOL, NOR MASS

Non-Pharmacologic Administration

There are currently no non pharmacological therapies.

Pharmacologic Administration

Will also repair itself whereas being diagnosed with barium enema. Air enema (aids in spirited intestines inspire).

Antibiotics if an infection present

Surgical draw: push the telescoped gut inspire out. Rare conditions a resection of intestines might maybe well maybe also merely occur, and stoma created.

Apply Up

With toleration of diet, patients treated with nonoperative reduction are most incessantly discharged 12-18 hours after the therapeutic enema. After operative reduction, postoperative progress dictates the length of maintain.

References

Blanco, F. C., Chahine, A. A., King, L., & Wilkes, G. (2017, July 3). Intussusception: Observe Necessities, Background, Etiology and Pathophysiology. Retrieved from http://emedicine.medscape.com/article/930708-overview#a1

Crawford, E. (2015). NP-Family Arena of expertise Overview and Scrutinize Book: A Series from StatPearls. Retrieved from https://books.google.com/books?identity=86ybCgAAQBAJ&dq=intussusception+np+questions&source=gbs_navlinks_s

Epocraties. (2017). Intussusception Differential Prognosis – Epocrates Online. Retrieved from https://online.epocrates.com/ailments/67935/Intussusception/Differential-Prognosis

Shah, V., & Amini, B. (2017). Intussusception | Radiology Reference Article | Radiopaedia.org. Retrieved from https://radiopaedia.org/articles/intussusception