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Intussusception — RCPSC EM MCQ

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EasyPaediatric emergenciesIntussusceptionRCPSC EM

A 10-month-old has episodic crying, pallor and drawing up legs. Between episodes he is lethargic. There is currant-jelly stool and ultrasound shows a target sign. What is the most likely diagnosis?

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Correct answer: D — Intussusception

Intermittent colicky pain, lethargy, blood/mucus stool and target sign are typical for intussusception.

Reference: Canadian Paediatric Society acute abdominal pain guidance; paediatric surgery standards