CLIPP 27

Question 1

What is the differential for abdominal pain and bloody stools?

Answer 1

inflammatory bowel disease
celiac disease
Bacterial gastroenteritis
Giardiasis
peptic ulcer disease
HSP

Question 2

What is functional abdominal pain?

Answer 2

most common cause of abdominal pain in school-age children

condition defined as pain without demonstrable evidence of pathologic condtion (son alarming symptoms, normal PE, stool sample tests are negative for occult blood)

Question 3

What is the treatment for functional abdominal pain?

Answer 3

reassurance

Question 4

what are some red flags that might suggest (but not obvious) crohn’s disease?

Answer 4

pain that awakens the child at night
pain that can be localized
involuntary weight loss or growth deceleration
Extraintestinal symptoms
Sleeiness after attacks of pain
Fam history of IBD
abnormal labs
Vomiting
Dysuria

Question 5

OPQRSTAAA

Answer 5

Onset
Position
Quality
Radiation
Severity
Timing
Alleviating factors
Aggravating factors
Associated symptoms