Document Detail

Intussusception. A case that suggests a new cardinal symptom--lethargy.
MedLine Citation:
PMID:  3375151     Owner:  NLM     Status:  MEDLINE    
Intussusception is an uncommon condition, but it is the most frequent cause of bowel obstruction in infants and children aged 3 months to 5 years. If undiagnosed, it can result in bowel necrosis, perforation, and even death. Four cardinal signs and symptoms (abdominal pain, rectal bleeding, vomiting, and abdominal mass) are described in patients with intussusception, but these manifestations are not always present and their absence may lead to misdiagnosis. Lethargy might be considered a fifth cardinal symptom. As demonstrated in this case, lethargy may be a significant presenting feature in an infant with no history of abdominal pain, and in association with the other cardinal symptoms, it may be an early indication of a significant illness such as intussusception. Awareness of this association may result in an earlier diagnosis and an improved outcome in patients with intussusception.
M Knudson
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Postgraduate medicine     Volume:  83     ISSN:  0032-5481     ISO Abbreviation:  Postgrad Med     Publication Date:  1988 Jun 
Date Detail:
Created Date:  1988-07-13     Completed Date:  1988-07-13     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0401147     Medline TA:  Postgrad Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  201-2, 207-10, 212     Citation Subset:  AIM; IM    
Department of Family and Community Medicine, Bowman Gray School of Medicine, Winston-Salem, NC 27103.
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MeSH Terms
Ileal Diseases / chemically induced*
Intussusception / diagnosis*,  etiology,  therapy
Sleep Stages*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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