Abdominal pain is common; so are strongly held myths and legends about what is concerning, and what is not.
Abdominal pain can be divided in to three types somatic, visceral, and referred.
In the approach to pediatric abdominal pain, certain entities are more common in different age groups; an age-based differential diagnosis of abdominal pain...
In the neonate with abdominal pain, always consider necrotizing enterocolitis, malrotation with midgut volvulus, Hirschsprung’s disease, pyloric stenosis, and neonatal testicular torsion.
So, when you are evaluating abdominal pain, have a practical differential diagnoses list. Sure, hyperthyroidism, lead poisoning, Addison's disease, pancreatitis, porphyria, and abdominal migraine may be a cause of pediatric abdominal pain, but when was the last time you diagnosed one of these conditions?
Pediatric abdominal pain is a common complaint evaluated in emergency departments (EDs). Although often due to benign causes, the varied and nonspecific presentations present a diagnostic challenge.
The equivalent of ‘jump tenderness’ in infants and toddlers is having the caregiver bounce the child on their knee and observing for irritability.
Evaluation of pediatric abdominal pain can prove a diagnostic challenge. Children may be limited in their ability to give an accurate history. Parents or guardians may also have difficulty interpreting the complaints of small children. In many cases, the causes are benign with few long-term sequelae. However, some require rapid diagnosis and treatment in order to prevent significant morbidity or mortality. Consideration of the child's age helps narrow the differential diagnoses.
Be able to examine and recognise the cause of acute abdominal pain in all age groups.
Point-of-care ultrasound can be used to detect Meckel’s diverticulum as the underlying etiology of lower abdominal pain in pediatric patients.
Acute abdominal pain in children is one of the more frequent reasons for emergency room visits and pediatric surgical consultations.