Abstract

A healthy, four month-old female infant presented to a local emergency department with a 12-hour history of decreased activity, non-bilious vomiting and one episode of dark red blood in the stools. There was no history of fever. Telephone consultation was completed and the patient was transferred to a tertiary, pediatric centre for further evaluation. On arrival, the infant appeared pale and was lethargic during the exam.

Highlights

  • Case ReportPediatric Point of care ultrasound (POCUS): 4 month old infant with a timely diagnosis by Victor Istasy MD, FRCPC; Tim Lynch MD, FRCPC; Rodrick Lim, MD, FRCPC

  • The patient was resuscitated with a 20 mL/kg normal saline bolus

  • The patient was assessed by the general surgical team within 30 minutes of consultation, the radiology team felt that a formal ultrasound was necessary prior to the completion of an air enema reduction

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Summary

Case Report

Pediatric POCUS: 4 month old infant with a timely diagnosis by Victor Istasy MD, FRCPC; Tim Lynch MD, FRCPC; Rodrick Lim, MD, FRCPC. Departments of Paediatrics and Medicine, Schulich School of Medicine at the University of Western Ontario, and the Children’s Health Research Institute, at the Children’s Hospital at London Health Sciences Centre, London, ON

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