Abdominal pain (peds): Difference between revisions
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== See Also  ==
== See Also  ==
 
*[[Abdominal Pain]]
[[Necrotizing Enterocolitis (NEC)]]  
*[[Necrotizing Enterocolitis (NEC)]]  
 
*[[Volvulus]]  
[[Volvulus]]  
*[[Pyloric Stenosis]]  
 
*[[Intussusception]]  
[[Pyloric Stenosis]]  
*[[Meckel's Diverticulum]]  
 
*[[Appendicitis (Peds)]]  
[[Intussusception]]  
*[[Inguinal Hernia (Peds)]]
 
[[Meckel's Diverticulum]]  
 
[[Appendicitis (Peds)]]  
 
[[Inguinal Hernia (Peds)]]  


== Source  ==
== Source  ==

Revision as of 21:44, 27 March 2014

Background

  • Bilious emesis is a surgical emergency until proven otherwise

DDX

Age Emergent Nonemergent
0–3 mo old Necrotizing Enterocolitis Colic
Volvulus Acute Gastroenteritis
Testicular Torsion Constipation
Incarcerated hernia  
Trauma  
Toxic megacolon  
Tumor  
3 mo–3 y old Intussusception Acute Gastroenteritis
Testicular Torsion Constipation
Trauma Urinary Tract Infections
Volvulus HSP
Appendicitis  
Toxic megacolon  
Vaso-occlusive crisis  
3 y old–adolescence Appendicitis Constipation
Diabetic Ketoacidosis Acute Gastroenteritis
Vaso-occlusive crisis Nonspecific viral syndromes
Toxic ingestion Streptococcus pharyngitis
Testicular Torsion Urinary Tract Infections
Ovarian Torsion Pneumonia
Ectopic Pregnancy Pancreatitis
Trauma Cholecystitis
Toxic megacolon Renal Stone
Tumor HSP
  Inflammatory bowel disease
  Gastric ulcer disease/gastritis
  Ovarian cyst
  Pregnancy

Workup

  1. UA, hCG
  2. Dehydration: Chemistry
  3. Imaging
    1. Abd xray
      1. Specific, not sensitive
    2. Ultrasound
      1. Appropriate for intussusception, ovarian/testicular, GB, IUP
    3. CT
      1. May be a/w 1/1000 lifetime risk of malignancy

See Also

Source

Gausche 11/03- By Lampe

7/2/09 PANI

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