SAQ 543 – Paediatrics – intermittent abdominal pain with abnormal X-ray

An 18-month-old boy presents with a 3-day viral illness and 24 hours of intermittent crying and abdominal pain. He is mildly dehydrated but otherwise has normal examination findings and observations. Abdominal X-ray is shown below.

List five (5) differential diagnoses.

(Marked out of 5.0)

/ 5

List three (3) abnormal findings on the X-ray.

(Marked out of 3.0)

/ 3

What is the most likely diagnosis?

(Marked out of 1.0)

/ 1

List four (4) radiological investigations that could confirm the diagnosis and provide one rationale for each.

(Marked out of 8.0)
</p> <table class="saq-prop-table"> <thead> <tr> <th>Investigation</th> <th>Rationale</th> </tr> </thead> <tbody> <tr> <td>1.</td> <td></td> </tr> <tr> <td>2.</td> <td></td> </tr> <tr> <td>3.</td> <td></td> </tr> <tr> <td>4.</td> <td></td> </tr> </tbody> </table> <p>

/ 8

Total Score: 0 / 17

Percentage: 0%