Lower Gastrointestinal Bleeding in Children – Post Test

A 2-year-old presents to ED with their mum who describes a week’s history of intermittent abdominal pain. During episodes of pain, the child draws his knees up to his chest, and the episodes often resolve after a vomit or a bowel movement. This morning mum found bright red stool in the child’s nappy and brought him straight in.

What is the most likely diagnosis?

An 18-month-old presents with intermittent, prolonged episodes of LGIB not associated with stool passage. What is the gold standard investigation for a Meckel’s diverticulum?

A 12-year-old presents with massive rectal bleeding. They are tachycardic and hypotensive. You have started fluid resuscitation with packed red cells and FFP and have now administered 40ml/kg of blood products. You now want to administer 10% calcium chloride, what dose will you give?

An 18-month-old boy is brought in by mother complaining of 2 days of bloody diapers and inconsolable crying, often tucking his knees. On examination, his HR is 170, CRT 4s and appears pale, therefore showing clinical signs of shock.

What is the 1st fluid bolus you would use to resuscitate this patient?

A 14-year-old female presents with a 1 week history of copious red bloody diarrhoea. There is a family history of Crohn’s disease. She is showing no clinical signs of shock.

How would you manage this patient?

Which of these is a FALSE statement regarding suspected ingestion of rare earth magnets, such as those found in desk toys and fake piercings?