Recently saw a couple bringing their sick child (2y/o) to ER because of severe vomiting for more than 20 times within 2 to 3 hours.
No diarrhea, no fever, no irritable crying, no blood or coffee-grounds in vomitus. Just weak and vomiting.
PE : A weak "exhausted" child with soft abdomen, hyperactive bowel sounds but no mass palpable.
The ER abd echo discovered an intussusception in the RUQ which was later reduced using echo-guided saline enema.
Jack <[log in to unmask]>
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