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PEDIATRIC SURGERY
Case #1 -
A 6 month old with acute intermittent abdominal pain

DISCUSSION QUESTIONS:
1.) What additional history do you wish to obtain?  Answer 
2.) What is your differential diagnosis at this point?  Answer 
3.) What physical finding may be present which would suggest intussusception as the diagnosis?  Answer 
4.) What is the role of laboratory tests?  Answer 
5.) What is the definitive diagnostic modality that is used?  Answer 
6.) What are the causes of intussusception in young children? In older children and adults?  Answer 
7.) Can this child be managed nonoperatively and if so, how? What is the chance of success?  Answer 
8.) Are there any contraindications to nonoperative management?  Answer 
9.) What are indications for operative management?  Answer 
 
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