Pediatric Nursing Demystified

Grunting

Fecal material in vomit

Sweating

Red currant jelly-like stool

Dehydration

Distended abdomen

Fever

Shallow respiration

Sausage-shaped abdominal mass

Test Results

Abdominal radiograph: Shows mass.

Barium enema: Shows intussusception.

Complete blood count—elevated WBC (leukocytosis):

• 10,000 to 15,000 μL is a sign of bowel obstruction.


• 15,000 to 20,000 μL is a sign of bowel strangulation.


• 
  

  
  

  20,000 μL is a sign of bowel infarction.

  
  

  
  

(^244) Pediatric Nursing Demystified
Colon
Intussuscipens
Intussusceptum
Ileum
Cecum
FIGURE 11-2