The Acute Abdomen: Intussusception, Appendicitis and the Mimics

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What this deck covers

The Acute Abdomen: Intussusception, Appendicitis and the Mimics in twelve illustrated clinical cases with worked explanations – case presentations built around clinical images, radiology, teaching illustrations and real laboratory data, with the reference range beside every value a case quotes. This visual, data-interpretation style of practice suits candidates preparing for MRCPCH AKP in particular, alongside the Saudi Prometric (SCFHS) exam, the Arab Board, DHA and OMSB. Each case gives you a clinical vignette, four options, the correct answer, and an explanation of why each of the other three is wrong.

The twelve cases, in order

  1. Screaming in waves
  2. The target on the screen
  3. Pushing it back with air
  4. The child the enema must not touch
  5. The pain that moved
  6. Too young to read the textbook
  7. The fever that wanders
  8. The myth about morphine
  9. The pain with no bowel story
  10. The rash beneath the pain
  11. The belly that breathes fast
  12. The abdomen above the diaphragm

What this deck teaches

  • The rhythm names the telescope. Screaming in waves with a drained child between them is intussusception – ultrasound, not checklist.
  • One probe, two questions. The target sign confirms it; free air, peritonitis or shock forbid the enema.
  • Air fixes most. Pneumatic reduction succeeds in about nine of ten stable infants – with theatre standing by.
  • The preschooler has already perforated. Under five, appendicitis is vague, mislabelled and late – lower the threshold.
  • Serial examination is the instrument. Adenitis wanders and softens; appendicitis fixes and declares itself.
  • Analgesia hides nothing. Titrated opioids preserve every sign – withholding them is the only harm.

Exam pearls from this deck

  • The rhythm makes the diagnosis – a baby who screams in waves and fades between them has intussusception until the ultrasound says otherwise.
  • One probe answers both questions – is it intussusception, and may the enema run.

The twelve worked cases in this deck, with the images and the full explanation of every option, are part of Pediatric Case Review membership. See what is included, or start with the free Prometric question sets.

More from this system: all gastroenterology illustrated case decks · gastroenterology board questions for bank-style drilling · the free Pediatric Prometric question sets · pediatric reference values.

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