Abdominal Pain Flashcards
1
Q
causes?
A
- non organic
- medical
- surgical
2
Q
medical causes of pain?
A
- constipation
- mesenteric adenitis
- coeliac
- IBD
- IBS
- abdominal migraine
- infantile colic
- HSP
- DKA
- UTI
- Pyelonephritis
3
Q
surgical causes?
A
- appendicitis
- intusussception
- bowel obstruction
- testicular torsion
4
Q
most common aetiology of constipation
A
- idiopathic / functional
- low fibre/high milk diet
5
Q
other secondary causes of constipation to consider?
A
- Hirschprung’s
- CF
- esp meconium ileus
- hypothyroidism
- bowel obstruction
- spinal cord lesions
- sexual abuse
- anal stenosis
- cows milk intolerance
6
Q
presentation of constipation?
A
- straining
- hard stools
- infrquent bowel opening
- soiling
- encopresis
- foecal incontinence
7
Q
Mx of constipation?
A
- correct any contributing factors / encourage high fibre diet & good hydration
- laxatives - movicol first line
- disimpaction regimen if impacted, with high dose laxatives
8
Q
how does infantile colic present?
A
- inconsolable crying for 3h/day
- presents between 3 weeks - 3 months
9
Q
Mx of infantile colic?
A
consider trial of cow’s milk exclusion or hydrolysed milk instead
10
Q
key features of GORD in infants?
A
- v common
- self-limiting
11
Q
pathophysiology of GORD
A
perfectly normal as in babies there is immaturity of LOS
provided there is normal growth & baby is otherwise well, not a problem
12
Q
presentation of GORD?
A
regurgitation, vomiting
problematic GORD:
- FTT
- chronic cough
- hoarse cry
- reluctancy to feed
13
Q
Ix of GORD?
A
- H&E sufficient
- pH study gold standard
14
Q
Mx of simple cases of GOR?
GORD= when it’s complicated
A
parental reassurance
- small frequent meals
- burping regularly
- not overfeeding
- keep baby upright after feeding
15
Q
more problematic cases of GORD Mx?
A
feed thickeners, gaviscon mixed w feeds, ranitidine/omeprazole
