RIU 330 Lecture Notes - Lecture 80: Stenosis, Weight Loss, Ileocecal Valve
23 Nov 2020
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Projectile vomiting: bile-free emesis ii, weight loss, dehydration, olive sign- palpation of an olive shaped mass in the ruq, diagnostic criteria: i. ii. Pyloric wall thickness > 3,5mm: differential diagnosis, gastrointestinal reflux, antral web iii. Fever: sonographic appearance, no peristaltic motion, non-compressible iii, appendicoliths sometimes visible v. Transverse measurement > 6 mm (outer dimensions: intussusception, the most common acute abdominal disorder is early childhood, bowel prolapse into more distal bowel and is propelled in antegrade fashion c. d. e, classified as: Ileocolic i. ii. iii: noted in children between 6 months and 2 years, symptoms, colicky abdomen pain, vomiting, blood (currant jelly) stool iv. Palpable abdominal masses: the ileum may invaginate into more distal ileum causing an ileoileal intussusception. If there is further progression through the ileocecal valve, an ileoileocecal intussusception results. Prolapse of the ileum into the cecum or beyond produces and ileocolic intussusception: sonographic appearance:
