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Intussusception — RCPSC EM MCQ

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HardPaediatric emergenciesIntussusceptionRCPSC EM

A 10-month-old infant is brought to the ED with episodic crying, drawing up the legs, and two episodes of vomiting. Between episodes he appears pale and lethargic; HR is 168, capillary refill is 4 seconds, and the abdomen is soft. A small amount of currant-coloured stool is seen in the diaper. What is the most appropriate next step?

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Correct answer: A — Resuscitate and obtain urgent ultrasound for intussusception

The presentation is classic for intussusception with evolving shock. Resuscitation, ultrasound diagnosis and urgent non-operative reduction planning with surgical backup are appropriate.

Reference: Canadian Paediatric Society guidance