A 5-year-old girl presents to the Emergency Room with history of severe abdominal pain, which is central and colicky, and repeated vomiting. The pain is getting worse by movement.... A 5-year-old girl presents to the Emergency Room with history of severe abdominal pain, which is central and colicky, and repeated vomiting. The pain is getting worse by movement. On examination, there is generalized guarding in the abdomen, with more tenderness toward the right iliac fossa (see lab results). Blood pressure 110/70 mmHg, Heart rate 135/min, Respiratory rate 22/min, Temperature 38 °C, Oxygen saturation 95%. Test Result Normal Values. RBC 54.8-7.15 10^12/L (Newborn) 4.f-4.8 x 10^12/L (Child), Hb 132 165-195 g/l. (Newborn) 112-165 g/L (Child), Platelets court 320 150-400 x 10^9/L, ESR 12.2-10 mm/h, WBC 15245-135 x 10^9/1 (2-10 years) 4.5-11.1 x 10^9/L (11 years-older adult). Which of the following is the most appropriate counseling regarding this condition? A. Occurs in 2% of individuals B. Its uncommon below 3 years old C. A sausage shaped mass often palpable D. Passage of redcurrant jelly stool confirmed the diagnosis
Understand the Problem
The question describes a 5-year-old girl presenting with symptoms suggestive of a possible medical condition. The question asks which of the following statements is the most appropriate counseling regarding this condition, based on the provided symptoms and lab results. Based on the symptoms, the possible condition is intussusception. We need to know the common facts about intussusception.
Answer
Its uncommon below 3 years old.
The most appropriate counseling regarding this condition is that it is uncommon below 3 years old. The patient's symptoms and lab results are highly suggestive of acute appendicitis, which is less common in children under 3 years old.
Answer for screen readers
The most appropriate counseling regarding this condition is that it is uncommon below 3 years old. The patient's symptoms and lab results are highly suggestive of acute appendicitis, which is less common in children under 3 years old.
More Information
Appendicitis is the most common cause of emergency abdominal surgery in children, but is less common in children under 3 years old.
Tips
It's important to consider the patient's age when evaluating abdominal pain.
Sources
- Abdominal pain in children and the diagnosis of appendicitis - PMC - pmc.ncbi.nlm.nih.gov
AI-generated content may contain errors. Please verify critical information
