Monday

Back to Basics: Intussusception

BACKGROUND:

-One segment of intestine telescopes into another

-Most commonly ileum into colon

-Most common cause of intestinal obstruction in children under 2 y/o

-Rare before 2 months old

CLINICAL:

-Classically infant with intermittent episodes of severe abdominal pain with legs drawn to chest, asymptomatic between episodes

-Classic Triad: abdominal pain, palpable sausage shaped abdominal mass, bloody stools (“currant jelly”)

- rarely all 3 present

Topic: 
Category (Day): 

Back to Basics: Pemphigus Vulgaris

Pathology: Chronic autoimmune mucocutaneous disease against desmosomes in epidermis

Clinical:

  • painful; rarely pruritic; afebrile
  • flaccid bullae but may start tense, +Nikolsky's sign
  • mucosal involvement common 
  • Bullous pemphigus: Have tense bullae (may start with urticarial lesions), negative Nikolsky's sign, mucosal involvement less likely

Diagnosis: clinical; biopsy is gold standard. 

Management:

Category (Day): 

Pages