Evaluation of abdominal pain in children
小结
鉴别诊断
常见
- Constipation
- Acute appendicitis
- Gastroenteritis
- Urinary tract infection
- Abdominal trauma (blunt or penetrating)
- Cholelithiasis/cholecystitis
- Primary dysmenorrhea
- Pneumonia
- Functional abdominal pain
- Infantile colic
不常见
- Intussusception
- Meckel diverticulum
- Mesenteric adenitis
- Hirschsprung disease
- Ulcerative colitis
- Crohn disease
- Small bowel obstruction
- Volvulus
- Large bowel obstruction
- Necrotizing enterocolitis
- Peptic ulcer disease
- Celiac disease
- Viral hepatitis
- Biliary dyskinesia
- Acute pancreatitis
- Splenic infarction/cysts
- Nephrolithiasis
- Sepsis
- Testicular torsion
- Ovarian torsion
- Ruptured ovarian cyst
- Pelvic inflammatory disease (PID)
- Pregnancy complications
- Empyema
撰稿人
作者
Charles L. Snyder, MD
Professor of Surgery
University of Missouri
Kansas City Children's Mercy Hospital
Kansas City
MO
利益声明
CLS declares that he has no competing interests.
Jeong Hyun, MD
Assistant Professor of Surgery
Stanford University
Lucile Packard Children's Hospital
Stanford
CA
利益声明
JH has several research grants for translational work with Crohn disease for Stanford University.
鸣谢
Professor Charles L. Snyder and Dr Jeong Hyun would like to gratefully acknowledge Dr KuoJen Tsao, Dr Kathryn Tinsley Anderson, Dr Luke R. Putnam, Dr Shinil K. Shah, Dr Nathan D. Allison, and Dr Peter A. Walker, previous contributors to this topic.
利益声明
KT, KTA, LRP, SKS, NDA, and PAW declare that they have no competing interests.
同行评议者
Kimberley Chien, MD
Associate Professor of Clinical Pediatrics
Weill Cornell Medicine
New York
NY
利益声明
KC declares that she has no competing interests.
Ann O. Scheimann, MD, MBA
Associate Professor of Pediatrics
Johns Hopkins School of Medicine
Baltimore
MD
利益声明
AOS declares that she has no competing interests.
Karla Au. Yeung, MD
Assistant Professor
Pediatric Gastroenterology and Nutrition
The Johns Hopkins Hospital
Baltimore
MD
利益声明
KAY declares that she has no competing interests.
Raymond G. Buick, MB BCh, BAO, FRCS (Edin), FRCS (Eng)
Consultant Paediatric Surgeon
Department of Paediatric Surgery
Birmingham Children's Hospital
Birmingham
UK
利益声明
RGB declares that he has no competing interests.
Peer reviewer acknowledgements
BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.
Disclosures
Peer reviewer affiliations and disclosures pertain to the time of the review.
参考文献
关键文献
Di Lorenzo C, Colletti RB, Lehmann HP, et al; AAP Subcommittee, NASPGHAN Committee on Chronic Abdominal Pain. Chronic abdominal pain in children: a technical report of the American Academy of Pediatrics and the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition. J Pediatr Gastroenterol Nutr. 2005 Mar;40(3):249-61.全文 摘要
Di Lorenzo C, Colletti RB, Lehmann HP, et al; American Academy of Pediatrics Subcommittee on Chronic Abdominal Pain; NASPGHAN Committee on Abdominal Pain. Chronic abdominal pain in children: a clinical report of the American Academy of Pediatrics and the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition. J Pediatr Gastroenterol Nutr. 2005 Mar;40(3):245-8.全文 摘要
Tabbers MM, DiLorenzo C, Berger MY, et al; European Society for Pediatric Gastroenterology, Hepatology, and Nutrition; North American Society for Pediatric Gastroenterology. Evaluation and treatment of functional constipation in infants and children: evidence-based recommendations from ESPGHAN and NASPGHAN. J Pediatr Gastroenterol Nutr. 2014 Feb;58(2):258-74.全文 摘要
Diercks DB, Adkins EJ, Harrison N, et al. American College of Emergency Physicians. Clinical policy: critical issues in the evaluation and management of emergency department patients with suspected appendicitis. Approved by ACEP Board of Directors February 1, 2023. Ann Emerg Med. 2023 Jun;81(6):e115-52.全文 摘要
Dahabreh IJ, Adam GP, Halladay CW, et al. Diagnosis of right lower quadrant pain and suspected acute appendicitis. Dec 2015 [internet publication].全文 摘要
参考文献
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
患者教育信息
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