DDX

Question 1

Ddx for unconscious child - common

Answer 1

seizure
head injury
syncope
breath holding spell

Question 2

Ddx for unconscious child - not to miss

Answer 2

Seizure
Head injury
Sepsis/Encephalitis/Meningitis
Toxic ingestion
Hypoglycemia
Other metabolic
Intracranial bleed - CVA
Cardiac arrhythmia
Cardiac or respi arrest of any cause
Bite 0 e.g. snake

Question 3

DDX - crying baby

Answer 3

colic
Thrush/nappy rash
Over feeding/Over tired
gastrooesophageal reflux
lactose intolerance
cow's milk protein allergy
intercurrent illness - otitis media. osteomyelitis.
acute abdomen
UTI
Hair tourniquet 
corneal abrasion
fracture
meningitis/ Increased ICP
CCF, SVT

Question 4

Chronic abdo pain DDx

Answer 4

Functional

organic

Question 5

Chronic abdo pain - functional DDx

Answer 5

• Functional dyspepsia
• Functional abdominal pain
• Childhood functional abdominal pain syndrome
• Abdominal migraine
• Irritable bowel syndrome

Question 6

Chronic abdo pain - organic DDx

Answer 6

• Constipation
• Coeliac disease
• Intestinal infection e.g. Giardiasis
• IBD
• Eosinophilic oesophagitis
• PUD
• Biliary colic
• Recurrent pancreatitis
• Chornic urogenital (reflux/hydronephrosis w UTI)
• Meckel’s diverticulum
• Intra-abdo mass
• hepatitis

Question 7

Functional abdo pain

Answer 7

abdo pain w/o evidence of pathological condition such as anatomical, metabolic, infectious, inflammatory or neoplastic disorder.

Question 8

Functional dyspepsia

Answer 8

Functional abdo pain or discomfort in upper abdo

Question 9

IBS

Answer 9

Functional abdo pain asso w alterations in bowel movements

Question 10

Abdominal migraine

Answer 10

Functional abdo pain w features of migraine (paroxysmal abdo pain asso w anorexia, n/v or pallor as well as maternal h/o migraine headaches.

Question 11

Functional abdo pain syndrome

Answer 11

functional abdo pain w/o the characteristics of dyspepsia, irritable bowel syndrome or abdo migraine

Question 12

DDX VOMITING - common

Answer 12

• gastroenteritis
• viral illness
• UTI
• functional dyspepsia
• psychogenic
• migraine
• post tussive

Question 13

DDX vomiting - not to miss

Answer 13

• UTI
• Raised ICP
• Surgical abdo - appendicitis, BO
• Pregnancy/PID
• Meningitis
• Bulimia
• Toxic ingestion

Question 14

DDX vomiting NTM neonate

Answer 14

• UTI
• Raised ICP (hydrocephalus, haemorrhage)
• Meningitis
• Bowel Obstruction (malrotation, incarcerated hernia)
• Pyloric stenosis
• Duodenal atresia/stenosis
• Dietary protein intolerance (eg milk protein induced enteritis)
• Intracranial injury from child abuse