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

Baby Sleeping

Baby Sleeping

Everything You Need To Know About Baby Sleeping. Your baby is going to be sleeping a lot. During the first few months, your baby will sleep for most of theday. You may not get any real interaction, or reactions other than sleep and crying.

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