This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Intestinal obstruction, Subject name: Surgery
A 9 month old child presents with excessive cry, right iliac fossa sausage lump and blood in stools. What is the best treatment? 
Select and explain. 
A. IV Fluids - antibiotics - NG tube, B. IV Fluids - antibiotics - air enema, C. IV Fluids - antibiotics - barium enema, D. IV Fluids - antibiotics - warm saline enema
B: IV Fluids - antibiotics - air enema
Answer: B: IV Fluids - antibiotics - air enema 
Explanation: Right iliac fossa SAUSAGE LUMP in a child is suggestive of INTUSSUSCEPTION i.e. telescoping of one segment of bowel into another. Recurrent intussusception because of ischemia leads to passage of small amount of stool mixed with blood know as RED CURRENT JELLY. *Treatment: Resuscitate - sta IV Fluids - antibiotics - air enema for spontaneous resolution (air is preferred over barium).