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"Is it in or out" a case report on a 5-month old female with cough, colds and bloody stools / Katrina Kristine R. Ramos.

Contributor(s): Language: english Publication details: Fairview, Quezon City: Department of Child Health, FEU-NRMF, 2012.Description: tables, photos; (in folder)Content type:
  • text
Media type:
  • unmediated
Carrier type:
  • volume
LOC classification:
  • CH 2012 0003
Summary: Abstract: Intussusception is a pediatric condition which requires prompt diagnosis and urgent management. The general objective of this case report is to discuss the approach to the diagnosis and management of a five-month old female presenting with cough, colds and bloody stools, with the following specific objectives : 1) to identify the possible etiology and pathophysiology of intussusception in this case; 2) to discuss the management options of intussusception and 3) to determine the prognosis and complications of intussusception. N.A five months old female, was brought at our institution with the maternal chief complaint of circumoral pallor for approximately one to two minutes. Patient had a history of cough and colds for one month, given amoxicillin, carbocisteine and phenylpropanolamine irregularly. Few hours prior to admission, with the persistence of cough and colds, she had an episode of vomiting. After which, mother noted circumoral pallor for approximately one to two minutes in the child, hence, was brought at our institution. Admitting diagnosis was pneumonia viral, some dehydration (moderate). To consider electrolyte imbalance. During her second hospital day, patient had one episode of bloody stools, moderately soaked diaper associated with one episode of bloody stools, moderately soaked diaper associated with one episode of vomiting. Upon physical examination of the abdomen, a mass measuring 4cm x 2 cm was palpated on the left upper quadrant. Abdominal X-ray showed intussusception. However, repeat complete blood count and platelet count revealed anemia. Thus, fast correction was done by transfusing 110 cc properly typed and crossmatched packed red blood cells in two hours. After which, repeat complete blood count and platelet count was normal. Patient then underwent emergency exploratory laparotomy, manual reduction of intussusception, appendectomy which she tolerated well. After which, patient stayed at the pediatric intensive care unit (PICU) for four days then transferred in the ward and was discharged improved.
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Room Use Far Eastern University - Nicanor Reyes Medical Foundation Research CH 2012 0003 (Browse shelf(Opens below)) Available R000358

Includes appendices and bibliographical references.

Abstract: Intussusception is a pediatric condition which requires prompt diagnosis and urgent management. The general objective of this case report is to discuss the approach to the diagnosis and management of a five-month old female presenting with cough, colds and bloody stools, with the following specific objectives : 1) to identify the possible etiology and pathophysiology of intussusception in this case; 2) to discuss the management options of intussusception and 3) to determine the prognosis and complications of intussusception. N.A five months old female, was brought at our institution with the maternal chief complaint of circumoral pallor for approximately one to two minutes. Patient had a history of cough and colds for one month, given amoxicillin, carbocisteine and phenylpropanolamine irregularly. Few hours prior to admission, with the persistence of cough and colds, she had an episode of vomiting. After which, mother noted circumoral pallor for approximately one to two minutes in the child, hence, was brought at our institution. Admitting diagnosis was pneumonia viral, some dehydration (moderate). To consider electrolyte imbalance. During her second hospital day, patient had one episode of bloody stools, moderately soaked diaper associated with one episode of bloody stools, moderately soaked diaper associated with one episode of vomiting. Upon physical examination of the abdomen, a mass measuring 4cm x 2 cm was palpated on the left upper quadrant. Abdominal X-ray showed intussusception. However, repeat complete blood count and platelet count revealed anemia. Thus, fast correction was done by transfusing 110 cc properly typed and crossmatched packed red blood cells in two hours. After which, repeat complete blood count and platelet count was normal. Patient then underwent emergency exploratory laparotomy, manual reduction of intussusception, appendectomy which she tolerated well. After which, patient stayed at the pediatric intensive care unit (PICU) for four days then transferred in the ward and was discharged improved.

Research - Department of Child Health

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