4th Pediatric Infectious Diseases Conference
 
 
Home  Back   ISSN 0973 - 0958
 
User name :
Password :
Pedi Poll
Today's Poll
Should teicoplannin, colistin be used in case of neonatal sepsis where culture does not reveal any organism_?
No, it should be used only after drug sensitivity report
Yes, under guidance of an infectious disease expert
APPROACH TO ACUTE ABDOMINAL PAIN IN CHILDREN
APPROACH TO ACUTE ABDOMINAL PAIN IN CHILDREN
Dr Sudipta Misra, MD
Associate Professor of Clinical Pediatrics
Chief, Section of Pediatric Gastroenterology,
Children's Hospital of Illinois, USA.


Investigations at the primary care setting: Investigations at the primary care setting:


Plain X-Ray abdomen: This simple, almost universally available investigation is an excellent tool in investigating the cause of acute abdominal pain. For fallacies of this test see above under "newborns".

Abdominal Ultrasound
Abdominal Ultrasound: Popularity of this test stems from its wide availability, being non invasive and inexpensive. However, ultrasound is highly operator dependent, especially for subtle signs such as those for appendicitis, intussusception, etc. An experienced ultrasonologist should be utilized for maximum benefit.

Blood tests
Blood tests: Serum lipase and amylase estimation is useful in evaluating acute abdominal pain in children. Other blood test such as complete blood count and metabolic profile are useful as circumstantial evidence for the cause of abdominal pain.
Other tests
Other tests: CT scan, MRI scan, Endoscopy, ERCP etc are more suitable for secondary and tertiary care settings.

Newborn Infants < 2 years
Intestinal Obstruction
  • Intestinal atresias and stenosis
  • Meconium Ileus and/or irschsprung's diseases
  • Malrotation and volvulus
  • Post intra abdominal surgery
Peritonitis Others
  • Incarcerated hernia with bowel necrosis or ovarian torsion
  • Gastroesophageal reflux
  • Abdominal trauma (difficult birth)
  • Colic
  • Infantile dyschezia
  • Gastroesophageal reflux
  • Non-Gastrointestinal causes
  • Intussusception
  • Malrotation and volvulus
  • Incarcerated hernia with bowel necrosis or ovarian torsion
  • Acute gastroenteritis
  • Abdominal trauma
  • Constipation
  • Toxin ingestion
Children (2-18 years) Adolescents (12-18 years)
 
 
Educational Section
 
Disclaimer:
The information given by www.pediatriconcall.com is provided by medical and paramedical & Health providers voluntarily for display & is meant only for informational purpose. The site does not guarantee the accuracy or authenticity of the information. Use of any information is solely at the user's own risk. The appearance of advertisement or product information in the various section in the website does not constitute an endorsement or approval by Pediatric Oncall of the quality or value of the said product or of claims made by its manufacturer.
 
copyright ©2011 website design & development by Levioza
Follow Us
Follow us on :
Folllow Us