Approach to the acute abdomen (pediatrics) Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 7-month-old boy is brought to the emergency department for vomiting and fussiness. Two hours prior to presentation, the patient had an episode of vomiting, non-bloody, non-bilious emesis, and developed subsequent abdominal distension. He began crying and has been inconsolable, which is uncharacteristic for him. The parent states that the patient is otherwise healthy, up-to-date on vaccinations, and meeting developmental milestones. In the emergency department, temperature by rectum is 38°C (100.4°F), heart rate is 180/min, respiratory rate is 50/min and labored, blood pressure is 82/40 mmHg, and oxygen saturation is 89% on room air. Physical exam is notable for an ill-appearing child. Bowel sounds are high-pitched. The abdomen is distended, tense, and tender to palpation in the right lower quadrant. There is a firm, tender mass in the right groin that is non-reducible with overlying erythema. Both testicles are palpable in the scrotum. Lab work is obtained and pending. Which of the following is the most appropriate next step in management?  

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