急診室陷阱 970201
臺中榮民總醫院兒童醫學部 王建得醫師
• 01944112E
9 M/O Female infant
What is your diagnosis ?
Final diagnosis
Intra-abdomen sepsis, related to Colon perforation
23 months , male toddler
2 days later
What do you do next ?
Final diagnosis
Ileal-ileal type intussuception, Meckel’s diverticulum related
• 14 y/o boy
• Intermittent abdominal pain for 3 days.
• Bilious vomiting for 3 times
• Watery diarrhea for times.
• No fever, decreased intake
• PE: Abdominal distention, soft
• hyperactive BS,
Based on the abovementioned features ?
What is the diagnosis most likely ? Further evaluation ?
•Abdominal CT
•In Tong Hospital, R/O small intestinal tumor.
Final diagnosis
• Intussuception,
• Meckel’s diverticulum related
14 Y/O girl 960424
OPD F/U ???
One week later, visit regional
hospital
960423 Focal ileus in upper abdomen.
Slight increased density in the pelvis, nature?
960515
History taking:
Menarche : nil
Abdomen pain : duration 6 months
once every week, for several days
Final diagnosis
Imperforated hymen with hematocolpus
6 y/o girl
Poor feeding and abdominal pain PE: Lower abdomen mass
What is your diagnosis ?
PE PE
AND PE
•