4.8 • 678 Ratings
🗓️ 10 June 2020
⏱️ 8 minutes
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0:00.0 | Hello and welcome to a new series of the zero to finals podcast on pediatric gastroenterology. |
0:10.0 | My name is Tom and in this episode I'm going to be talking to you about abdominal pain in children. |
0:15.2 | And if you want to follow along with written notes on this topic, you can follow along at zero tofinals.com |
0:20.1 | slash abdominal pain or in the |
0:22.7 | gastroenterology section of the zero definals pediatrics book. So let's get straight into it. |
0:28.7 | Abdominal pain is a very common presentation in children. The causes can be split into non-organic |
0:35.6 | causes, medical causes and surgical causes. |
0:39.3 | Non-organic or functional abdominal pain is very common in children over five years of age. |
0:46.3 | This is where no disease process can be found to explain the pain, and all the tests will come back as normal. |
0:53.3 | There are a number of medical causes that need to be excluded before diagnosis. the pain and all the tests will come back as normal. |
1:00.2 | There are a number of medical causes that need to be excluded before diagnosing non-organic pain. |
1:03.4 | Constipation is very common cause. |
1:10.5 | Urine tract infections, celiac disease, inflammatory bowel disease, irritable bowel syndrome, mesenteric adenitis, abdominal migraine, |
1:16.1 | pylenephritis, henoxhundline propura, tonsilitis, diabetic ketoacidosis and infantile |
1:25.2 | colic. |
1:26.3 | There are also additional causes in adolescent girls, such as dysmenorrhea, |
1:32.0 | which is period pain, mitlchmerz, which is ovulation pain, ectopic pregnancy, pelvic inflammatory |
1:39.5 | disease, ovarian torsion and pregnancy. There are a few surgical causes of abdominal pain in children. |
1:48.4 | Appendicitis causes a central abdominal pain which spreads to the right iliac fossa. |
1:54.7 | Interception causes colicky, non-specific abdominal pain with red currant jelly stools. |
2:01.5 | Bowel obstruction causes pain, distension, absolute constipation and vomiting. |
2:07.5 | And testicular torsion causes sudden onset, unilateral testicular pain, |
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