Browse categories and answer follow-up questions to refine your symptom profile.
Immediate priorities
High-risk states
Shock
Hypotension for age
Altered mental status
Peritonitis
Guarding
Rebound tenderness
Suspected perforation
Free air concern
Toxic appearance
Resuscitation bundle
Airway and breathing
Oxygen for hypoxemia
Bag valve mask support if tiring
Circulation
IV or IO access
Isotonic crystalloid bolus 20 mL/kg
Repeat bolus for persistent hypoperfusion
NPO status
NPO for suspected intussusception
Maintenance IV fluids if prolonged NPO
Early consultation triggers
Pediatric surgery or general surgery
Radiology for enema reduction capability
Time-critical decisions
If peritonitis or perforation
Avoid enema reduction
Immediate surgical pathway
If stable without peritonitis
Ultrasound first-line
Image-guided enema reduction pathway
Monitoring and escalation
Monitoring
Continuous pulse oximetry
Target SpO2 94% or higher
Cardiac monitor
Persistent tachycardia as hypovolemia marker
Blood pressure cycling
Age-based hypotension thresholds
Escalation criteria
Rising lactate mmol/L
Ischemia concern
Earlier operative planning
Worsening abdominal exam
Repeat focused exam after analgesia
Stop nonoperative pathway
Recurrent severe pain after successful reduction
Recurrence concern
Repeat ultrasound pathway
SymptomDx is an educational tool for medical professionals. It does not replace clinical judgment. Verify all clinical data and drug dosages with authoritative sources.