Sunday, March 31, 2013

Question 19

19.  Your patient is a 3 year old female that presents to you with lower abdominal pain and vomiting.  Her vital signs are as follows pulse-190, BP-84/53, Temp-101.7 after fluid bolus and aggressive volume replacement.  Her CT scan shows an intussusception.  Her abdominal exam reveals some voluntary guarding and no bowel sounds.  Based upon this information, what is the best management option?

A.  Barium enema

B.  Surgical consult and recommend the patient be taken to the operating room for surgical reduction

C.  Give the patient some Morphine and Zofran, repeat vital signs and if normal attempt the barium enema.

D.  Admit for observation

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