Abdominal pain (peds): Difference between revisions

(Abdominal pain is mostly medical.)
(Added disposition)
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==Disposition==
==Disposition==
*Treat underlying etiology
*Treat underlying etiology
*Most patients go home.
*No un-diagnosed and continued pain should be discharged.


==See Also==
==See Also==

Revision as of 19:57, 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

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.
  • No un-diagnosed and continued pain should be discharged.

See Also

References