Abdominal Pain FAQs - Pediatric oncall

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Question Category : Abdominal Pain
My daughter had strep throat 2 months ago (age 11). 1 month ago she had an onset of LUQ pain, fatigue & loss of appetite. 2 weeks ago she had an onset of L flank pain & enlarged lymph nodes under her chin. Labs (CBC, amylase, liver enzymes, sed rate) showed normal values. Cat Scan of abdomen was unremarkable. She also experienced constipation over past week which got resolved. Symptoms remained the same. She is unable to go to school or participate in any activities. The Doctor feels this is viral but it has been 5 weeks. Do you have any thoughts? Check Out the Answer
Question Category : Abdominal Pain
CASE: This is an 18 year old female who presents to the emergency department with severe pain in her lower right quadrant abdomen for the past two weeks. She describes the pain as sharp and worse than being stabbed by a knife. She shows prior history of fever and chills. There is some suggestion of urgency, but no dysuria. She feels nauseous and but has not vomited. Her LMP was four weeks ago and she denies any possibility of pregnancy. Her past medical history is unremarkable. There is no family history of kidney stones. Examination: VS T36.7 (oral), P89, R 20, BP 90/60, oxygen saturation in room air 99%. She is alert and cooperative. She is uncomfortable, but she does not appear to be in severe pain. HEENT unremarkable. Neck supple. Heart rate is regular without murmur. Lungs are clear. No chest tenderness is seen. Her abdomen is soft and non-tender on palpation. Bowel sounds are normoactive. There is no rebound tenderness. Her abdomen is tender over in the right upper quadrant. Her distal pulse are good. She is able to move all her extremities well and she speaks well. Blood studies are drawn and an IV is started. Her urine pregnancy test is negative and she is sent to radiology for an abdominal series. Radiology Investigations Results 1.Blood tests: CBC, metabolic profile all are within normal limits 2.Plain X-Ray abdomen: Mass of faeces in the RUQ, preliminary diagnosis constipation. Patient is given laxatives both oral and enema. Second x-ray reveals no obstruction. One week later patient still has RUQ pain, but x-ray is clear. 3.Abdominal Ultrasound: No clinical evidences, all organs are healthy. Question: Any differential diagnosis? Check Out the Answer
Question Category : Abdominal Pain
A 11 year old girl has sharp upper abdominal pains on and off for 10 weeks, nausea with no vomiting, no diarrhea, headaches. She had an ultra sound, blood work, stool sample, stomach x-ray, chest X-ray, barium swallow. Check Out the Answer
Question Category : Abdominal Pain
What is the cause of recurrent dull aching suprapubic pain in a female child of 8 years even after completing the treatment of UTI? According to sensitivity test, no abnormal finding was detected in USG, ABD, KUB, plain X Ray ABD. Check Out the Answer

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