Abdominal pain (peds)

From WikEM
Jump to: navigation, search

For adult patients see Abdominal pain

Background

  • Bilious emesis is a surgical emergency until proven otherwise

Clinical Features

  • Abdominal pain
  • May be associated with nausea, vomiting or diarrhea
  • Fever may be present in pain from infectious etiology

Differential Diagnosis

Pediatric Abdominal Pain

0–3 Months Old

3 mo–3 y old

3 y old–adolescence

Evaluation

Depends on location and history

Abd xray

Abdominal plain xray films are specific, but not sensitive. As such, they have very little utility in the workup of pediatric abdominal pain, unless concerned for a foreign body. Do NOT use films to "confirm" a diagnosis of "constipation," as this is not specific and may also be found during surgical emergencies (e.g. appendicitis).

Management

  • Based on diagnosis

Disposition

  • Depends on underlying etiology
    • If symptoms are fully resolved and the patient has a benign abdominal exam, most patients go home with return precautions
    • In general, unclear cases with continued pain should NOT be discharged home

See Also

References