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Life Threatening? No Write-up: Small Bowel Obstruction possibly intussusception 12/11/2006 (approximately 7 week after Rotateq). Report came in with MR attached documenting an almost 4 month old''s admission for bilious vomiting and lethargy. PMH previously healthy infant with hx. of hyperbilirubinemia after birth which required phototherapy. Mother noticed infant to be more irritable than usual but with no other symptoms initially. The following day she noticed yellowish-green emesis and continued vomiting as well as lethargy. 911 was called and an IV was started in the field which caused the child to perk up some. PE was unremarkable with 1 episode of emesis during exam. PE at this time showed voluntary guarding and mild distension. NG tube was placed and patient did well and was d/c''d home after 2 days. Working DX is transient intussusception reduced with contrast enema. Addendum: spoke with office RN/reporter who confirmed final dx. is the same as primary dx.: bilious emesis, probable intussusception and that Rotateq was given, lot # 0849F./ | ||||||||||||||||||||||||||||||||
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