The main purpose of this site is to create a platform to support those who are preparing for their RACGP exams particularly the OSCE RACGP exams. In addition, we are here to promote Mental Health awareness and training, better self care for Doctors, and a biopsychosocial model of health for patients. We are independent of the RACGP.
Question on intussusception for Dr Peter Dunn Radiologist at Exact Radiology
"If one suspects that a young child has intussusception, what is the best investigation for this?" GP Qld
Always ultrasound scan. Usually obvious when positive and "normal" means "excluded with about 95 percent confidence". If present, we do an air reduction with a rectal catheter. Much more effective than barium. Air reduction has a lower risk of perforation.
However , it should only be done in a hospital environment (preferably tertiary), where there is paediatric surgical support because this is potentially a high risk patient in any event.