Abdominal pain (peds): Difference between revisions
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#UA, hCG | #UA, hCG | ||
# | #Chemistry: eval for dehydration | ||
#Imaging | #Imaging | ||
##Abd xray | ##Abd xray | ||
###Specific, not sensitive | ###Specific, not sensitive | ||
##Ultrasound | ##Ultrasound | ||
###Appropriate for intussusception, ovarian/testicular, GB, IUP | ###Appropriate for intussusception, ovarian/testicular, GB, IUP, appy | ||
##CT | ##CT | ||
###May be a/w 1/1000 lifetime risk of malignancy | ###May be a/w 1/1000 lifetime risk of malignancy | ||
Revision as of 18:11, 11 April 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
- UA, hCG
- Chemistry: eval for dehydration
- Imaging
- Abd xray
- Specific, not sensitive
- Ultrasound
- Appropriate for intussusception, ovarian/testicular, GB, IUP, appy
- CT
- May be a/w 1/1000 lifetime risk of malignancy
- Abd xray
See Also
- Abdominal Pain
- Necrotizing Enterocolitis (NEC)
- Volvulus
- Pyloric Stenosis
- Intussusception
- Meckel's Diverticulum
- Appendicitis (Peds)
- Inguinal Hernia (Peds)
Source
Gausche 11/03- By Lampe
7/2/09 PANI