Intussusception differential diagnosis: Difference between revisions
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* [[Appendicitis]] | * [[Appendicitis]] | ||
* [[Gastroesophageal Reflux Disease]] Between the painful episodes, the child may behave relatively normally and be free of pain. As a result, initial presentation can be confused with that of gastroenteritis [45]. As symptoms progress, increasing lethargy often develops, which can be mistaken for meningoencephalitis. Some authors have hypothesized that the lethargy is caused by increased levels of endogenous opioids, suggested by cases with pupillary miosis and reversal with naloxone [46]. | * [[Gastroesophageal Reflux Disease]] Between the painful episodes, the child may behave relatively normally and be free of pain. As a result, initial presentation can be confused with that of gastroenteritis [45]. As symptoms progress, increasing lethargy often develops, which can be mistaken for meningoencephalitis. Some authors have hypothesized that the lethargy is caused by increased levels of endogenous opioids, suggested by cases with pupillary miosis and reversal with naloxone [46]. | ||
"Maintaining a high index of suspicion for intussusception is essential when evaluating a child younger than 5 years who presents with abdominal pain or when evaluating a child with HSP or hematologic dyscrasias."" | |||
==References== | ==References== | ||
Revision as of 20:04, 12 December 2017
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Intussusception Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Intussusception On the Web |
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American Roentgen Ray Society Images of Intussusception |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sargun Singh Walia M.B.B.S.[2]
Overview
Differential Diagnosis
- Acid reflux / heartburn
- Appendicitis
- Gastroesophageal Reflux Disease Between the painful episodes, the child may behave relatively normally and be free of pain. As a result, initial presentation can be confused with that of gastroenteritis [45]. As symptoms progress, increasing lethargy often develops, which can be mistaken for meningoencephalitis. Some authors have hypothesized that the lethargy is caused by increased levels of endogenous opioids, suggested by cases with pupillary miosis and reversal with naloxone [46].
"Maintaining a high index of suspicion for intussusception is essential when evaluating a child younger than 5 years who presents with abdominal pain or when evaluating a child with HSP or hematologic dyscrasias.""