Submission Instructions: The study guide is to be clear and concise and will provide a quick reference for a specific chronic disease. Include your resources and guidelines used for the elaboration of the
Submission Instructions: The study guide is to be clear and concise and will provide a quick reference for a specific chronic disease. Include your resources and guidelines used for the elaboration of the study guide. Please use the attached template below to complete your assignment. Guide for a Selected Chronic Condition Template
|
Intussusception |
||||||
|
What
is it? |
Intussusception
occurs when a portion of the intestine folds like a telescope, with one
segment slipping inside another segment. It can occur anywhere in the
intestines. This causes an obstruction, preventing the passage of food that
is being digested through the intestine. |
|||||
|
Etiology |
The cause of intussusception is not known. Though rare, an increased incidence of
developing intussusception may be seen in children: ·
Who
have abdominal or intestinal tumors or masses ·
Who
have appendicitis |
|||||
|
Occurrence/Epidemiology |
Children less than 3 years old, can also
occur in older children, teenagers, and adults. ·
Intussusception
occurs more often in boys than girls. |
|||||
|
Clinical
Presentation (subjective
and physical examination) |
Subjective: Pain,
Sudden loud crying, Straining, Draw knees up, Irritable. |
Objective: red
mucus or jelly like stool, fever, lethargic, vomiting bile, diarrhea,
sweating, dehydration, abdominal distention or lump. |
||||
|
Diagnostic
Testing |
X-Ray: may
demonstrate an elongated soft tissue mass with a bowel obstruction proximal
to it. |
Ultrasound:
‘Target Sign’ also known as
the doughnut sign or bull's eye sign. appearance is generated by concentric
alternating echogenic and hypoechogenic bands. |
Upper &
Lower GI Series (Barium Swallow & Enema): giving the "coiled spring”
appearance |
|||
|
3
Differential Diagnosis (include
difference between each differential diagnosis & the main diagnosis) |
Intussusception: Pain, sudden
crying, red mucus or jelly like stool, fever, lethargic, vomiting bile,
diarrhea, sweating, dehydration, abdominal distention or lump. |
Gastroenteritis: vomiting that are typically nonbilious,
often with anorexia, fever, lethargy, and diarrhea. No jelly
like stool |
Gastric
Volvulus: Epigastric
pain tenderness and distention, vomiting, bloody diarrhea No jelly like stool |
Appendicitis: abdominal pain that has migrated from a
periumbilical position to the right lower quadrant. No jelly
like stool or masses. |
||
|
Non-Pharmacologic
Management |
There are
currently no nonpharmacological treatments. |
|||||
|
Pharmacologic
Management |
May fix itself
while being diagnosed with barium enema.
Air enema (aids in moving intestines back). Antibiotics if
infection present Surgery: push
the telescoped intestine back out. Rare cases a resection of intestines may
happen, and stoma created. |
|||||
|
Follow
Up |
With toleration
of diet, patients treated with nonoperative reduction are usually discharged
12-18 hours after the therapeutic enema. After operative reduction,
postoperative progress dictates the length of stay. |
|||||
|
References |
||||||
|
Blanco, F. C.,
Chahine, A. A., King, L., & Wilkes, G. (2017, July
3). Intussusception: Practice Essentials, Background, Etiology and
Pathophysiology. Retrieved from http://emedicine.medscape.com/article/930708-overview#a1 Crawford, E. (2015). NP-Family Specialty Review
and Study Guide: A Series from StatPearls. Retrieved from https://books.google.com/books?id=86ybCgAAQBAJ&dq=intussusception+np+questions&source=gbs_navlinks_s Epocrates. (2017). Intussusception Differential
Diagnosis - Epocrates Online. Retrieved from https://online.epocrates.com/diseases/67935/Intussusception/Differential-Diagnosis Shah, V.,
& Amini, B. (2017). Intussusception | Radiology Reference Article |
Radiopaedia.org. Retrieved from
https://radiopaedia.org/articles/intussusception |
||||||