Acute abdominal pain

The causes of abdominal pain can be considered in the diagnostic model category.

1. Common causes/probability diagnosis o infantile colic o gastroenteritis (all ages) o mesenteri adenitis

2. Serious causes, not to be missed o intussusception (peaks at 6-9 months) o acute appendicitis (mainly 5-15 years) o bowel obstruction

3. Pitfalls o constipation o torsion of testes o lactose intolerance o peptic ulcer o infections

tonsillitis

■ Epstein-Barr mononucleosis

urinary tract infection

Rarities o Meckel's diverticulitis o Henoch-Schonlein purpura o sickle crisis o lead poisoning

4. Seven masquerades checklist o diabetes mellitus o drugs

5. Psychogenic consideration o important cause mesenteric artery ¡schaemia recurrent appendicitis Crohn's disease chronic cholecystitis biliary' colic hepatitis hepatic congest;^

mesenteric artery ¡schaemia recurrent appendicitis Crohn's disease chronic cholecystitis biliary' colic hepatitis hepatic congest;^

gynaecolog cal disorders f>LD

diverticulitis constipation peptic ulcer oesop hagi t; s/ref Iuk carcinoma stomach

Fig. 30.5 Typical sites of various causes of chronic or recurrent abdominal pain gynaecolog cal disorders f>LD

irritable bowel syndrome diverticulitis constipation chion;c parKreattis peptic ulcer oesop hagi t; s/ref Iuk carcinoma stomach

Fig. 30.5 Typical sites of various causes of chronic or recurrent abdominal pain

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