Ped Abdo
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| show | Yes its 5% of of ED ped presentations.
Only1-7% require surgical interventions.
>15% leave without definitive diagnosis.
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| show | Either somatic of visceral afferent fibers.
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| show | Pain that originates from the blood vessels and the organs. These areas are not well innervated with sensory nerves therefor the pain is most of the time dull or vague and my be hard to pinpoint.
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| Define somatic pain. | show 🗑
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| Where does referred abdo pain often occur? | show 🗑
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| show | Age.
First episode or recurrence?
Associated symptoms?
Relevant pre-existing conditions?
Characteristics of the pain?
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| show | 4+ (age in months/2)
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| show | (AgeX2)+10.
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| What may be signs of pain besides crying? | show 🗑
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| show | Colic and gastroenteritis.
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| show | Up to 28 days.
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| How old is an infant? | show 🗑
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| How old is a toddler? | show 🗑
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| show | 3-5 years.
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| show | 6-12 years.
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| How old is an adolescent? | show 🗑
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| show | Diabetic ketoacidos.
Toxic - ingestion.
Sepsis.
Haemolytic uraemic syndrome.
UTI.
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| What serious conditions that require surgery may be causing pediatric abdo pain? | show 🗑
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| What are the most common causes of abdo pain in the preschooler 3-5yrs. | show 🗑
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| show | Constipation.
Acute gastroenteritis.
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| What are common adolescent (13-18yr) abdo pain causes? | show 🗑
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| What gynaecological conditions may present as abdo pain in the adolescent? | show 🗑
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| What are common associated symptoms of abdo pain? | show 🗑
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| show | What is the child's surgical and medical Hx?
Appendix?
Medications and what had they had for pain relief?
Hernia?
Diabetes?
Food intolerance, irritable bowel, allergies?
NAI?
Psychosocial Hx?
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