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Beyond appendicitis: Evaluation and surgical treatment of pediatric acute abdominal pain

机译:除了阑尾炎外:儿科急性腹痛的评估和外科治疗

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摘要

Purpose of Review: Evaluation of the child with acute abdominal pain is challenging because of the wide range of potential diagnoses. Presenting symptoms, clinical examination, and laboratory findings can guide selection of diagnostic imaging. Recent Findings: Intussusception and intestinal malrotation are potentially serious causes of intestinal obstruction, which are best evaluated by ultrasound and upper gastrointestinal series, respectively. Ultrasound has diagnostic importance in the evaluation of multiple diseases, including appendicitis, by potentially decreasing the need for inpatient observation, cholecystitis and complications of gall stones such as pancreatitis, and ovarian diseases. Pelvic inflammatory disease should be considered in evaluation of a teenage girl with lower abdominal pain. Less common causes of acute abdominal pain include ingested foreign bodies, infected congenital anomalies, and perforated peptic ulcer disease. Summary: Presenting symptoms and physical examination findings can narrow the number of potential diagnoses in pediatric acute abdominal pain and thereby guide diagnostic imaging selection. Abdominal/pelvic ultrasound, rather than computed tomography scan, is the preferred modality for initial evaluation of many potential causes of pediatric abdominal pain.
机译:审查目的:由于各种潜在诊断,急性腹痛的儿童的评价是挑战性的。呈现症状,临床检查和实验室调查结果可以指导选择诊断成像。最近的发现:肠肠溶和肠道恶性潜在的肠梗阻原因,可分别通过超声和​​上胃肠系列评估。超声波在评估多种疾病(包括阑尾炎)中具有诊断性重要性,潜在地降低了对住院观察,胆囊炎和胰腺炎等胰腺炎和卵巢疾病的并发症的需求。盆腔炎应考虑评估腹痛较低的十几岁的女孩。急性腹痛的常见原因包括摄入异物,感染先天性异常和穿孔消化性溃疡病。发明内容:呈现症状和体格检查结果可以缩小小儿急性腹痛的潜在诊断的数量,从而引导诊断成像选择。腹部/盆腔超声,而不是计算机断层扫描,是初步评估儿科腹痛的许多潜在原因的首选方式。

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