Authors: Sarah Devine / Editor: Steve Corry-Bass / Reviewer: Sarah Devine / Codes: SLO5, SLO6, SuP5 / Published: 26/07/2021
A 10-month-old boy is brought in to the emergency department by his parents. They report he has been vomiting and unsettled throughout the day but the vomiting has worsened and is now green. They report at times ‘he seems to be fine and then will cry uncontrollably’. He has not opened his bowels today. He has been growing well and has no relevant birth/medical history.
His observations are as follows:
- RR: 36
- Oxygen Saturation: 98%
- HR: 152
- BP: 85/50
- Temp: 37.7°C
- CRT: 3 seconds
On examination he appears unsettled and is drawing his knees upwards. His abdominal examination reveals a lack of fullness in his left lower quadrant. He is clinically dehydrated. There are no other positive examination findings.
22 responses
Good refresher!
Interesting case.
Good case, very useful
Thank you. Very useful.
Excellent, could have been a bit as GI bleed sceneria.
good learning
A good refresher to a rare presentation.
good refresher
Educative Ultrasound signs of intussusception
Very good review
Many thanks for the refresher.
Red currant jelly stools is late, when the bowel has already undergone necrosis. Good tip to remember.
good revision points
Thank you
Important learning module in treating unwell child to get intraosseous access for replacing fluid losses.
very important not to miss.
very useful article
great learning point about IV lines. In reality , IO will be inserted only if Paeds also fail to get line i guess. At least i can back up myself if i have to do in future.
INTERESTING CASE
good case
Excellent case study
Useful question, thanks.