MEDI7212 Lecture Notes - Lecture 89: Radiodensity, Medical Ultrasound, Lipase
Document Summary
Introduction: abdominal pain in children will sometimes have a known cause, but a significant number (~10-15% children) are diagnosed with non-specific functional abdominal pain, consider psychogenic factors (family, school issues) and non-pharmacological measures (reassurance, relaxation) for non-specific. Irritable/ unsettled infant: meckel"s diverticulum, uti, volvulus. Adolescent: appendicitis, dka, gastroenteritis, henoch schonlein, appendicitis, dka, ectopic pregnancy. Purpura: mesenteric adenitis, migraine, ovarian pathology, pneumonia, constipation, testicular torsion, uti, viral illness, cholecystitis/ cholelithiasis, gastroenteritis, ovarian cyst- Ibd torsion or rupture: pancreatitis, pid, renal calculi, testicular torsion, uti, viral illness. Infectious gastroenteritis causes diarrhoea +/- vomiting (non-bilious) or cramping abdominal pain: most are managed effectively with oral rehydration (enteral methods preferred over iv) Shocked children require urgent resuscitation with 20ml/kg boluses with. Severe abdominal pain or abdominal signs: red flags of gastroenteritis but require consideration of differentials too, very unwell appearance, persistent diarrhoea (10+ days, blood in stool, bilious green vomit, vomiting without diarrhoea.
