Child with GI Symptoms Flashcards
1 month old F is brought in because she has been spitting up her milk for the last 10 days. The vomiting episodes have increased in frequency and forcefulness. Emesis is nonbloodly and non bilious. The episodes usually occur immediately after breastfeeding. She has stopped gaining weight.
PYLORIC STENOSIS partial duodenal atresia gerd gastroenteritis hepatitis uti otitis media
physical exam cbc electrolytes U/S-abdomen barium swallow pH probe endoscopy ast/alt/bili/alkphos ua urine culture tympanocentesis culture
3yo M presents with constipation. The child has had 1 bowel movement per week since birth despite the use of stool softeners. At birth, he did not pass meconium for 48 hours. He has poor weight gain. There is a family history of this problem.
HIRSCHSPRUNG'S DISEASE low-fiber diet anal stenosis hypothyroidism lead poisoning
physical exam rectal exam stool exam and culture barium enema suction rectal biopsy anorectal manometry tsh, fT4 cbc electrolytes serum lead levels
8 month old F presents with sudden onset colicky abdominal pain with vomiting. The episodes are 20 minutes apart, and the child is completely well between episodes. She had loose stools several hours before the pain, but her stools are now bloody.
INTUSSUSCEPTION appendicitis meckel's diverticulum volvulus gastroenteritis enterocolitis blunt abdominal trauma
physical exam rectal exam, stool for occult blood cbc electrolytes contrast enema U/S abdomen CT abdomen
7yo M presents with abdominal pain that is generalized, cramp, worse in the morning, and seemingly less prominent during weekends and holidays. He has missed many school days because of the pain. Growth and development are normal. His parents recently divorced
SOMATOFORM DISORDER Malingering Irritable bowel syndrome lactose intolerance child abuse
physical exam cbc electrolytes US abd CT abd amylase, lipase stool exam
2 month old M presents with persistent crying for 2 weeks. The episodes subside after passing flatus or eructation. There is no change in appetite, weight or growth. There is no vomiting, constipation or fever
COLIC formula allergy gerd lactose intolerance strangulated hernia testicular torsion gastroenteritis
physical exam
rectal exam, stool for occult blood
US abd
US testicular
