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Intussusception — USMLE Step 3 MCQ

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ModeratePediatrics (well-child, chronic management)IntussusceptionUSMLE Step 3

A 9-month-old boy has episodic crying with drawing up of the legs, vomiting, and lethargy. Abdomen has a sausage-shaped mass in the right upper quadrant and stool is mixed with blood and mucus. Which of the following is the most likely diagnosis?

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Correct answer: BIntussusception

Intermittent colicky pain, lethargy, currant jelly stool, and sausage-shaped mass suggest intussusception.

Reference: AAP pediatric emergency care principles