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Time to intervention varies per nutrition and clinical status Pseudo-obstruction, scleroderma, visceral organ myopathy, or very long–segment Hirschsprung disease Failure to tolerate adequate oral intake or EN Severe adhesive disease “Frozen abdomen”a with chronic obstructive symptoms and malnutrition Inability to achieve or maintain enteral access

bleeding. Neurological symptoms include encephalopathy, dysarthria, ataxia, focal or generalized dystonia, and both resting and action tremors. Laboratory tests and brain MRI can suggest the diagnosis, with genetic testing for confirmation. Treatment involves copper chelators, such as D-penicillamine or trientine, or agents like zinc that reduce dietary

bleeding. Neurological symptoms include encephalopathy, dysarthria, ataxia, focal or generalized dystonia, and both resting and action tremors. Laboratory tests and brain MRI can suggest the diagnosis, with genetic testing for confirmation. Treatment involves copper chelators, such as D-penicillamine or trientine, or agents like zinc that reduce dietary

bleeding. Neurological symptoms include encephalopathy, dysarthria, ataxia, focal or generalized dystonia, and both resting and action tremors. Laboratory tests and brain MRI can suggest the diagnosis, with genetic testing for confirmation. Treatment involves copper chelators, such as D-penicillamine or trientine, or agents like zinc that reduce dietary

time since the inciting event (acute, subacute, chronic). In children with normal brain volumes, development of subdurals usually requires severe accidental or nonaccidental trauma. However, in patients with large extra-axial spaces, bleeding

time, with concern for subsequent tonic seizure. He was taken to the nearest emergency room. Initial GCS was 14/15. Diagnostic Workup Head CT showed right squamous temporal bone fracture with epidural hematoma and midline shift (Fig. 66.1). He was taken immediately to the operating room for decompression

time, with concern for subsequent tonic seizure. He was taken to the nearest emergency room. Initial GCS was 14/15. Diagnostic Workup Head CT showed right squamous temporal bone fracture with epidural hematoma and midline shift (Fig. 66.1). He was taken immediately to the operating room for decompression

time since the inciting event (acute, subacute, chronic). In children with normal brain volumes, development of subdurals usually requires severe accidental or nonaccidental trauma. However, in patients with large extra-axial spaces, bleeding

time since the inciting event (acute, subacute, chronic). In children with normal brain volumes, development of subdurals usually requires severe accidental or nonaccidental trauma. However, in patients with large extra-axial spaces, bleeding

time, with concern for subsequent tonic seizure. He was taken to the nearest emergency room. Initial GCS was 14/15. Diagnostic Workup Head CT showed right squamous temporal bone fracture with epidural hematoma and midline shift (Fig. 66.1). He was taken immediately to the operating room for decompression