Intussusception

• sudden onset severe colicky abdominal pain

  • intervals \~15min

  • lasting 2-3 mintues

• telescoping of segment of bowle

  • iliocoecal

• usually idiopathic

  • can have pathological lead point (4-12yrs)

    • polyp

    • Meckel diverticulum

• M>F

• 3mo-2yrs

• birth - school age

• “redcurrnat jelly (60%)

• USS = diagnositc maneuvre

Acute appendiciits

• may occur at any age

• uncommonn \<3yo

• vomiitng in 80% of children

• diarrhoea in about 20%

• temp only usually slightly elevated

• high CRP >50 = feature

Mesenteric appendiciits

• localisation of pain and tenderness is not as difinite

• rigidity less of a feature

• temp hgihger

• anorexia, nausea and vomiting lesser features

• lasts 5d followed by rapid recovery