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CM Pediatric Gastroenterology Exam
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CM Pediatric Gastroenterology ExamUpper GI sx (history)
N,V, dysphagia, heartburn, reflux sx
lower GI sx (history)
stool consistency, frequency, rectal bleeding
Types of abdominal pain?
visceral
somatic
referred
Pt presents w/ epigastric/RUQ pain, what are you DDx?
peptic ulcer
gallbladder
pancreas
Pt presents w/ periumbilical pain, what are you DDx?
IBS
Pt presents w/ RLQ pain, what are you DDx?
appendicitis
mesenteric adenitis
Pt presents w/ lower abdomen pain, what are you DDx?
constipation, IBD, genitourinary- PID
Pt presents w/ flank pain and hematuria , what are you DDx?
renal colic
Common surgical conditions that present with abdominal pain?
appendicitis
, not to miss surgical conditions that may present with abdominal pain
testicular or ovarian torsion
ectopic pregnancy
incarcerated hernia
malrotation
intussusception
common medical conditions *non surgical that present with abdominal pain?
respiratory infection
age
constipiation
UTI
mesenteric
common medical conditions, non surgical, NOT TO MISS, that present with abdominal
pain?
DKA, sickle cell, renal colic, pancreatitis, cholecystitis, PID
most common cause of chronic abdominal pain in children?
functional abdominal pain
Alarm signs of abdominal pain that tells you it is organic issue instead of functional
abdominal pain?
impaired growth
HSM or palpable mass
calprotectin in stool
anemia, elevated EST, pos celiac panel
location: functional abdominal pain
periumbilical
causes of functional abdominal pain?
visceral hypersensitivity
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