Sudden Pain

Gastrointestinal System

{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"The pediatric patient with an acute abdomen is one of the most common presentations encountered in clinical practice.\n\nIn the majority of cases, the pain is due to benign and self-limiting disease; however, in a significant minority, it may herald a serious surgical or medical condition.\n\nA careful history and examination is key towards differentiating between the above; one should also appreciate that there are several important differences between the clinical evaluation of a pediatric patient, vis-a-vis that of an adult.\n\nThe first clinical point to keep in mind is that the differential diagnosis of acute abdominal pain varies significantly by age; in patients between 6 to 11 years old, the most common pathologies include appendicitis, gastroenteritis, urinary tract infections, mesenteric lymphadenitis, constipation, and functional pain.\n\nThe second key point is that the location of the pain is perhaps the strongest pointer towards the likely etiology; in particular, right lower qua"}]}

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