Ver el código de «Abdominal pain (peds)»

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{{PediatricPage|abdominal pain| abdominal pain in pregnancy|abdominal pain (geriatrics)}}
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==Background==

*Bilious emesis is a surgical emergency until proven otherwise



==Clinical Features==

[[File:Abdominal Quadrant Regions.jpg|thumb|Side-by-side comparison of quadrants and regions.]]
[[File:1506 Referred Pain Chart.jpg|thumb|Chart of commonly reported referred pain sites.]]
*Abdominal pain
*May be associated with [[Special:MyLanguage/nausea|nausea]], [[Special:MyLanguage/vomiting|vomiting]], or [[Special:MyLanguage/diarrhea|diarrhea]]
*[[Special:MyLanguage/Fever|Fever]] may be present in pain from infectious etiology



==Differential Diagnosis==

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{{Pediatric abdominal pain DDX}}
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==Evaluation==

''Depends on location and history''
*Consider:
**hCG
***Consider [[Special:MyLanguage/ectopic pregnancy|ectopic pregnancy]] in any female of reproductive age
**[[Special:MyLanguage/Urinalysis|Urinalysis]] 
**CBC
**Chemistry
*Possible imaging:
**[[Special:MyLanguage/Ultrasound|Ultrasound]]
***Appropriate for [[Special:MyLanguage/intussusception|intussusception]], [[Special:MyLanguage/ovarian torsion|ovarian]]/[[Special:MyLanguage/testicular torsion|testicular torsion]], [[Special:MyLanguage/gallbladder|gallbladder]], [[Special:MyLanguage/pregnancy|pregnancy]], [[Special:MyLanguage/Appendicitis (peds)|appendicitis]]
**CT
***May be associated with 1/1,000 lifetime risk of malignancy
**[[Special:MyLanguage/Abdominal radiography|Abdominal radiography]]
***[[Special:MyLanguage/acute abdominal series|Abdominal plain xray]] films are specific, but not sensitive. As such, they have very little utility in the workup of pediatric abdominal pain, unless concerned for a [[Special:MyLanguage/Esophageal foreign body|foreign body]]. Do NOT use films to "confirm" a diagnosis of "constipation," as this is not specific and may also be found during surgical emergencies (e.g. [[Special:MyLanguage/appendicitis|appendicitis]]).



==Management==

*Based on diagnosis



==Disposition==

*Depends on underlying etiology
**If symptoms are fully resolved and the patient has a benign abdominal exam, most patients go home with return precautions
**In general, unclear cases with continued pain should NOT be discharged home



==See Also==

*[[Special:MyLanguage/Abdominal Pain|Abdominal Pain]]
*[[Special:MyLanguage/Pyloric Stenosis|Pyloric Stenosis]] 
*[[Special:MyLanguage/Meckel's Diverticulum|Meckel's Diverticulum]] 
*[[Special:MyLanguage/Inguinal Hernia (Peds)|Inguinal Hernia (Peds)]]



==References==

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[[Category:Pediatrics]]
[[Category:GI]]
[[Category:Symptoms]]
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