| Theme | Abdominal Pain in Children : Current Clinical Management | |
|---|---|---|
| Title | Extra-intestinal Disorders : Urogenital Diseases and Other Disorders | |
| Publish Date | 2005/06 | |
| Author | Takeshi Ikegaya | Department of Pediatrics, Fujieda Municipal Hospital |
| [ Summary ] | Abdominal pain is a common symptom in the children. Some children need emergency treatment, such as intussusception. To diagnose the origin of their illness, first we consider whether their overall symptoms are consistent with specific gastro-intestinal disease. However if they are not, we must next consider urogenital disorders, and then other extra-intestinal disorders. Non-urogenital extra-intestinal disorders, which can cause abdominal pain in children, include infectious disease especially of the respiratory tract, cardiovascular diseases, metabolic disorders, and collagen diseases. Young patients, who are suffering from acute infectious disease, i. e. pharyngitis, tonsillitis, bronchitis, pneumonia, or bronchial asthma, often complain of abdominal pain. Among the possible disorders, the following seven disorders must be emphasized due to their urgency acute adrenal insufficiency, hyperglysemia due to diabetes or hypoglysemia, theophyllin intoxication, ovarian torsion, intravaginal torsion of testis, myocardial infarction due to Kawasaki disease, and child abuse. In this article, preliminary examinations and first aid are described in relation to the seven disorders and urogenital or other important disease. The diagnosis of disorders with abdominal pain which we frequently encounter in the hospital, is also described. |
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