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Pediatric EMCQ Pediatric EMCQ 01 : ABDOMINAL PAIN

Pediatric EMCQ 01 : ABDOMINAL PAIN


A. Peritonitis
B. Appendicitis
C. Constipation
D. Urinary tract infection
E. Mesenteric lymphadenitis
F. Migraine
G. Intussusception
H. Henoch-Schonlein vasculitis
I. Psychosomatic
J. Shigella dysentry


For the following patients with abdominal pain, choose the most likely diagnosis.
 
1) A previously well 10 month old baby presenting with drawing up of her legs with crying and some bloody runny stools.

G. Intussusception

Note:
This is the right age group for intussception. It is often preceded by an URTI and it is thought that mesenteric lymphadenopathy may precipitate intussception. A red currant jelly-like stool is a late sign. In the older child, the cause of intussception may be HSP or lymphoma.

2) A 4-year-old child, with poor eating habits, iron deficiency anaemia and intermittent colicky abdominal pain.

C. Constipation

Note:
Constipation is common in children and should be managed aggressively to establish regular bowel habit quickly.

3) A 2-year-old girl with nephrotic syndrome who has developed a fever and abdominal pain.

A. Peritonitis

Note:
The causes of abdominal pain in nephrotic syndrome are peritonitis (usually pneumococcal), renal vein thrombosis and hypovolaemia.
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