A 7-year-old child is admitted to the hospital with severe abdominal pain, bloody "currant jelly" diarrhea, and fever. What is his probable diagnosis?
a. Hirschsprung's disease
b. Celiac disease
c. Ruptured appendix
d. Intussusception
D
Severe abdominal pain, bloody "currant jelly" diarrhea, and fever are common clinical manifestations of intussusception. Hirschsprung's disease usually manifests as bowel obstruction. Severe abdominal pain, bloody "currant jelly" diarrhea, and fever are not common symptoms of celiac disease. Although a child with a ruptured appendix will probably be febrile, the other symptoms are not indicative of a ruptured appendix.
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Standard Text: Record your answer rounding to the nearest whole number. Fill in the blank with the appropriate word.