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9 Cards in this Set
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functional adb pain
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most common cause of abdominal pain in all ages of children.
Functional or chronic recurrent abdominal pain usually nonspecific and is not life-threatening. may be categorized as one or a combination of: functional dyspepsia, irritable bowel syndrome, abdominal migraine, or functional abdominal pain syndrome. 4- 18y/o w chronic abdominal pain when there are no alarming symptoms or signs, the physical examination is normal, and the stool sample tests are negative for occult blood, without the requirement of additional diagnostic evaluation. not uncommon to have additional somatic complaints, such as headache, difficulty sleeping or limb pain. tx: reassurance fear of going to school or another phobia may be so strong that removal of the pain as a defense mechanism may only lead to other symptoms. psychological evaluation, if appropriate Constipation is a common cause of abdominal pain but is less common than functional abdominal pain in the absence of abnormal stools. Peptic ulcer disease, lactose intolerance and inflammatory bowel disease are much less common than either functional abdominal pain or constipation wt loss suggests long term illness |
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IBD
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abd pain can be severe and acute or subacute and mild
bloody diarrhea growth failure |
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celiac dx
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diarrhea, chronic abd pain, growth failure
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bacterial gastroenteritis
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acute bloody diarrhea w abd pain but not chronic (no growth failure)
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PUd
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recurrent abd pain
uncommon in children no diarrhea or growth failure guiac + stools but no frank blood |
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giardia
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acute or chronic abd pain w diarrhea
blood stools is highly suggestive of bacteria, not parasites no growth failure |
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HSP Henoch-Schonlein purpura
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abd pain develops within days of palpable purpura rash but can last weeks to months
no diarrhea or growth failure guiac + stools |
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functional
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chronic abd pain w no diarrhea, growth failure, or bloody stools
dx of exclusion constipation will also cause chronic abd pain |
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Meckel's Diverticulum
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asymptomtic
painless bloody stools |
