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Clinical Signs and Symptoms of Territo et al Associated with Intussusception in a Young Child in the Emergency Department

Description

Territo et al identified a number of signs and symptoms associated with intussusception in young children coming to the Emergency Department. The authors are from Women and Children's Hospital of Buffalo, D'Youville College and Pediatric and Adolescent Urgent Care of WNY.


 

Patient selection: 2 months to 5 years with intestinal intussusception

 

Clinical signs and symptoms:

(1) crying (odds ratio 3.3)

(2) palpable abdominal mass (odds ratio 15.7)

(3) pallor (odds ratio 6.5)

(4) vomiting (odds ratio 3.1)

 

Number of Signs and Symptoms Present

Probability of Intussusception

0

very low (< 2%)

1

low

4

very high (95%)

 

cumulative odds ratio =

= PRODUCT(odds ratio for each sign and symptom)

 


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