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Life Threatening? No
Write-up: Developed intussusception on 10 Jan 2007. Reduced by XR enema. 2/20/07 Received medical records from PCP which reveal patient experienced recurrent ear infections, cough & cold symptoms, sinusitis, vomiting illness approx 6 days prior to vax, temp 100.1 on day of vax. On 12/19, seen for fever over past 2 days, decreased appetite, congestion & was dx w/left otitis media. Treated w/antibiotics. Received 2nd flu vax on 12/26. On 1/10 awoke w/green emesis & drawing legs up, blood noted in jelly like stool, lethargic. Seen in PCP office that day & sent to hospital for xrays which were reported as WNL. US of abdo showed possible mass in RUQ c/w IS. Air contrast enema done which reduced the IS & was kept overnight for observation. D/C home w/temp of 101.7, parent called PCP & was told to go to ER. On 1/18/07 had temp of 104 w/rash, diarrhea then constipation. Sent to hospital for labs which were reported as WNL. Continued to have fever & was stuffy & congested. Dx w/viral gastroenteritis. 3/29/07 Received medical records from hospital which reveal patinet experienced fussiness & drawing up of legs, vomiting & small bloody mucous stool on day of admit 1/10/07. PCP sent to ER where IS was confirmed & successfully reduced with air enema. Admitted for overnight observation. Progressed well & d/c home next am. Later that same day returned to ER with fever of 101.2. Treated w/fluids & antipyretic meds & d/c to home w/close observation by family. FINAL DX: RUQ colonic intussusception, reduced by contrast enema.
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