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APPROACH TO A CASE OF

ABDOMINAL PAIN IN
PEDIATRICS
Neonates Infants & toddlers

Imperforate anus Colic

Lactose intolerance Meckels diverticulum

Intrauterine volvulus Intussusception

Hirschprung disease Volvulus

Lead poisoning
• Functional pain • Acute
• Trauma • Functional pain appendicitis

All Ages
School aged children

Adolescents
• Acute • Dysmennorrho • Bowel
gastroenteritis ea obstruction
• Constipation • PID • Constipation
• Acute • STI • Trauma
appendicitis • Testicular or • Pancreatitis
• Abdominal ovarian torsion • Lower lobe
migraine • Crohns disease pneumonia
• Henoch • Hemolytic
Schonlein uremic
syndrome
purpura
• Gall bladder
disease
• UTI
intussusception
VOLVULUS

• 1 in 500 infants • 2-4 in 1000


• 60% by 1 month • Age – 5 months to 10 months
• Twisting of loops • Weaning
of intestine • Infective factor

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