Author Question: A 7-year-old child is admitted to the hospital with severe abdominal pain, bloody currant jelly ... (Read 108 times)

sdfghj · **on:** Jun 27, 2018

A 7-year-old child is admitted to the hospital with severe abdominal pain, bloody currant jelly diarrhea, and fever. What is his probable diagnosis?

a. Hirschsprung's disease
b. Celiac disease
c. Ruptured appendix
d. Intussusception

Question 2

Which diagnosis has the highest priority for the child with irritable bowel syndrome?

a. Alteration in nutrition: Less than body re-quirements related to malabsorption
b. Altered growth and development related to inadequate nutrition
c. Pain related to hyperperistalsis
d. Constipation related to maldigestion

sokh · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

D
Severe abdominal pain, bloody currant jelly diarrhea, and fever are common clinical manifestations of intussusception. Hirschsprung's disease usually manifests as bowel obstruction. Severe abdominal pain, bloody currant jelly diarrhea, and fever are not common symptoms of celiac disease. Although a child with a ruptured appendix will probably be febrile, the other symptoms are not indicative of a ruptured appendix.

Answer to Question 2

C
Diffuse abdominal pain unrelated to activity or meals is a common clinical manifestation of irritable bowel syndrome. Normal physical growth and development usually occur with this disorder. Constipation may occur with irritable bowel syndrome, usually alternating with diarrhea.