A 5-year-old girl presents with severe abdominal pain, vomiting and generalized guarding especially in the right iliac fossa. Her vitals are: BP 110/70 mmHg, HR 135/min, RR 22/min,... A 5-year-old girl presents with severe abdominal pain, vomiting and generalized guarding especially in the right iliac fossa. Her vitals are: BP 110/70 mmHg, HR 135/min, RR 22/min, Temp 38 °C, O2 sat 95%. Labs show elevated WBC of 15245. Which of the following is the most appropriate counseling regarding this condition? A. Occurs in 2% of individual 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 medical condition. The question includes a clinical presentation with abdominal pain, vomiting, vital signs, and lab results (RBC, Hb, Platelets, ESR, WBC). We need to determine the most appropriate counseling point regarding this condition, based on the provided presentation and lab values. The key point is identifying the most likely diagnosis based on the patient's symptoms and lab results.
Answer
A sausage-shaped mass is often palpable.
The most appropriate counseling regarding this condition is that a sausage-shaped mass is often palpable. The presentation is highly suggestive of intussusception, a condition more common in children, where a part of the intestine folds into another part. While not always present, a palpable sausage-shaped mass in the abdomen is a characteristic finding.
Answer for screen readers
The most appropriate counseling regarding this condition is that a sausage-shaped mass is often palpable. The presentation is highly suggestive of intussusception, a condition more common in children, where a part of the intestine folds into another part. While not always present, a palpable sausage-shaped mass in the abdomen is a characteristic finding.
More Information
Intussusception is a medical emergency, especially in young children.
Tips
Do not confuse intussusception symptoms with other gastrointestinal issues, and remember that the classic 'red currant jelly stool' is a late finding.
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