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Intussusception

Intussusception Downloaded from https://pdfs.journals.lww.com/jaapa by BhDMf5ePHKZxZb3ruX4b9cKfbT5h3bp+v9gTtSlrchDWvVTxyN8Hif2P/rPZfAxb8td684/2m6Qj/1S0ZObgiiKJ9vD64yNdY1wI1G/v4gN3ti1fujtTJsg5898WZFuC on 02/23/2019 QUICK RECERTIFIC ATION SERIES Brennan Bowker, MHS, PA-C, CPAAPA; Sheree Rascati, MHS, PA-C GENERAL FEATURES • Children often cannot be consoled and may draw their • Occurs when the bowel invaginates on itself, leading to knees to the chest. bowel obstruction, ischemia, and necrosis. • Pain may be associated with vomiting, which is often • Most common cause of bowel obstruction in children initially nonbilious but may progress to bilious. under age 2 years; most frequently seen in children ages • Children may act normally between episodes. 6 months to 3 years. • Children may develop lethargy, which can be confused • Occurs in 1-4 per 1,000 live births with a male pre- with a variety of central nervous system processes. dominance of about 3:1. • Bowel function may or may not be present. • Less common in adults and when present, typically is Stools often appear normal early in the process. secondary. As the intussusception evolves, bowel function may cease (little to no fl atus, no bowel movements). CLINICAL CHARACTERISTICS The classic “currant jelly” stool is often a late sign and • Primary intussusception is idiopathic. indicates bowel ischemia; fewer than http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of the American Academy of PAs Wolters Kluwer Health

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Publisher
Wolters Kluwer Health
ISSN
1547-1896
eISSN
0893-7400
DOI
10.1097/01.JAA.0000527710.61686.02
Publisher site
See Article on Publisher Site

Abstract

Downloaded from https://pdfs.journals.lww.com/jaapa by BhDMf5ePHKZxZb3ruX4b9cKfbT5h3bp+v9gTtSlrchDWvVTxyN8Hif2P/rPZfAxb8td684/2m6Qj/1S0ZObgiiKJ9vD64yNdY1wI1G/v4gN3ti1fujtTJsg5898WZFuC on 02/23/2019 QUICK RECERTIFIC ATION SERIES Brennan Bowker, MHS, PA-C, CPAAPA; Sheree Rascati, MHS, PA-C GENERAL FEATURES • Children often cannot be consoled and may draw their • Occurs when the bowel invaginates on itself, leading to knees to the chest. bowel obstruction, ischemia, and necrosis. • Pain may be associated with vomiting, which is often • Most common cause of bowel obstruction in children initially nonbilious but may progress to bilious. under age 2 years; most frequently seen in children ages • Children may act normally between episodes. 6 months to 3 years. • Children may develop lethargy, which can be confused • Occurs in 1-4 per 1,000 live births with a male pre- with a variety of central nervous system processes. dominance of about 3:1. • Bowel function may or may not be present. • Less common in adults and when present, typically is Stools often appear normal early in the process. secondary. As the intussusception evolves, bowel function may cease (little to no fl atus, no bowel movements). CLINICAL CHARACTERISTICS The classic “currant jelly” stool is often a late sign and • Primary intussusception is idiopathic. indicates bowel ischemia; fewer than

Journal

Journal of the American Academy of PAsWolters Kluwer Health

Published: Jan 1, 2018

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