Pediatrics Flash Cards - Case 27 - 8yo abd pain

Question 1

What is the most common cause of abdominal pain in school-aged children?

Answer 1

functional abdominal pain

Question 2

What criteria must be met before you can make the dx of functional abd pain?

Answer 2

non-concerning hx/no red flag s/sx AND benign exam AND guiac negative stool

Question 3

Red flags in the w/u of a pediatric patient w/ seemingly benign abdominal pain?

Answer 3

Involuntary wt loss; Deceleration of linear growth; GI bleed; Signif vomiting; Chronic severe diarrhea; Persistent right upper or RUQ pain; Unexplained fever; FamHx of IBD; Abnl/unexplained PE findings

Question 4

Test results c/w iron-def anemia?

Answer 4

microcytic anemia, Low retic count, Low Fe; High TIBC

Question 5

Depth of tissue involvement in UC vs Crohns?

Answer 5

UC is mucosal only; Crohns may progress into submucosa, muscularis and serosa