Abdominal pain (peds): Difference between revisions
Line 2: Line 2:
==Background==
==Background==
*Bilious emesis is a surgical emergency until proven otherwise
*Bilious emesis is a surgical emergency until proven otherwise
*Most abdominal pain in children has a medical etiology rather than surgical issue.


==Clinical Features==
==Clinical Features==

Revision as of 10:57, 4 December 2016

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

  • Urinalysis, hCG
  • CBC
  • Chemistry
  • Possible imaging:
    • Abd xray
      • Specific, not sensitive
    • Ultrasound
      • Appropriate for intussusception, ovarian/testicular, GB, IUP, appy
    • CT
      • May be associated with 1/1,000 lifetime risk of malignancy

Management

  • Based on diagnosis

Disposition

  • Treat underlying etiology
  • Most patients go home after successful resolution of symptoms.
  • No un-diagnosed and continued pain should be discharged home.

See Also

References

Retrieved from "https://www.wikem.org/w/index.php?title=Abdominal_pain_(peds)&oldid=112994"