Abdominal pain (peds): Difference between revisions
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(Abdominal pain is mostly medical.) |
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==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 19:55, 23 November 2016
For adult patients see Abdominal pain
Background
- Bilious emesis is a surgical emergency until proven otherwise
- Most abdominal pain in children has a medical etiology rather than surgical issue.
Clinical Features
Differential Diagnosis
Pediatric Abdominal Pain
0–3 Months Old
- Emergent
- Nonemergent
3 mo–3 y old
- Emergent
- Nonemergent
3 y old–adolescence
- Emergent
- Nonemergent
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
- Abd xray
Management
- Based on diagnosis
Disposition
- Treat underlying etiology