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Final diagnosis

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急診室陷阱 970201

臺中榮民總醫院兒童醫學部 王建得醫師

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• 01944112E

9 M/O Female infant

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What is your diagnosis ?

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Final diagnosis

Intra-abdomen sepsis, related to Colon perforation

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23 months , male toddler

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2 days later

What do you do next ?

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Final diagnosis

Ileal-ileal type intussuception, Meckel’s diverticulum related

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• 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,

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Based on the abovementioned features ?

What is the diagnosis most likely ? Further evaluation ?

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•Abdominal CT

•In Tong Hospital, R/O small intestinal tumor.

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Final diagnosis

• Intussuception,

• Meckel’s diverticulum related

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14 Y/O girl 960424

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OPD F/U ???

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One week later, visit regional

hospital

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960423 Focal ileus in upper abdomen.

Slight increased density in the pelvis, nature?

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960515

History taking:

Menarche : nil

Abdomen pain : duration 6 months

once every week, for several days

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Final diagnosis

Imperforated hymen with hematocolpus

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6 y/o girl

Poor feeding and abdominal pain PE: Lower abdomen mass

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What is your diagnosis ?

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PE PE

AND PE

FEEDBACK

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Thanks for your attention

參考文獻

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