W7 - Acute Abdominal Pain Flashcards
what is SOCRATES
- Site
- Onset
- Characteristics
- Radiation
- Association
- Timing
- Exacerbation/relieving
- Severity
what are some causes of abdominal distention
obstruction, constipation, pseudo-obstruction, gastroenteritis
what are some systemic causes of abdominal pain
sickle cell
mesenteric adenitis (from infection)
testicular torsion
what is the most severe cause of bilious vomiting which must be tested for
malrotation with volvulus
how do you investigate malrotation with volvulus
GI contrast study
what is the common pain movement of appendicitis
general central pain which migrates to R iliac fossa
most common cause of a large spleen in children
EBV
sickle cell disease
what is visceral pain
embryological specific pain as a result of referred pain from the GI tract
- dull
- non-specific
what is intussusception
invagination of proximal bowel into distal lumen
where is it most common to get intussusception
ileocecal
what is the classic symptoms of intussusception
colicky pain, pale, redcurrant jelly stool, sausage shaped mass
what is the management of intussusception
air enema reduction - 80% success
then theatre for reduction or bowel resection
what would you see on examination in testicular torsion
higher testicle
swollen and VERY tender
most common causes of abdo pain in children
acute appendicitis
non specific viral infection
gastroenteritis
constipation
UTI
less common causes of abdo pain
intussusception
obstruction
Urinary tract obstruction
malrotation
testicular torsion
how do you investigate appendicitis in children
USS - dilated more than 7mm
