Pediatric abdominal distention

    • What causes abdominal distention?

      The causes of abdominal distention can range from gastrointestinal, renal, retroperitoneal to non- systemic causes like sepsis and ascites. • Intestinal obstruction occurs in approximately 1 in 2000 births. • Classic clinical signs of neonatal intestinal obstruction are vomiting, abdominal distention, and failure to pass meconium. Table. 1.


    • How common is abdominal pain in a pediatric Ed?

      Up to 10% of all visits to a pediatric ED are for abdominal pain.48 The astute clinician needs to have a high index of suspicion while evaluating any child with abdominal pain. The challenge is to remain vigilant for the rare, yet significant pathologic condi- tion, while not overtesting the more common, benign conditions.


    • What is the most common cause of GI obstruction in children?

      Intussusception is the most common cause of GI obstruction in children and is the second most common pediatric acute abdominal surgical emergency. Its peak inci- dence is at 5 to 10 months of age.17–19 Often the need for evaluation will be predicated on the history and a high index of suspicion.


    • What are the signs and symptoms of neonatal intestinal obstruction?

      • Classic clinical signs of neonatal intestinal obstruction are vomiting, abdominal distention, and failure to pass meconium. Table. 1. Obstructive causes of abdominal distention • Occurs 2 in every 1000 children usually betweenthe 3rd to 6th weeks of life although it has been reported inpreterm neonates and children over 1 year of age.


    • Pediatric Abdominal Radiographs: Common and Less Common Errors

      and a 1-week history of abdominal distention (Fig. 1). Discussion—An abdominal mass identi-fied in the first year of life is most commonly of renal origin and has benign causes, such as hydronephrosis or multicystic dysplastic kid-ney, which are usually detected on prenatal ul - trasound. During the ensuing decade of life,


    • [PDF File]Acute Abdominal Pain in Children - AAFP

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      FIGURE 1. Algorithm for evaluating acute abdominal pain in children. Adapted with permission from King BR. Acute abdominal pain. In: Hoekelman RA. Primary pediatric care. 3d ed. St. Louis: Mosby ...


    • Abdominal Compartment Syndrome in Children: Clinical and ...

      control subjects who had abdominal distention without ACS. RESULTS. The most common risk factor of pediatric ACS was increased abdominal con-tents, particularly bowel dilatation. Among the 50 children, 38 underwent decompressive inter-vention. The mortality rate was 45% in the group who underwent decompression versus 58% in


    • Constipation Clinical Practice Guideline - Pediatric Healthcare

      • Persistent abdominal distention/vomiting or xxbilious emesis (Consider obstruction and xxother etiologies) • Blood in the stool without anal fissures on xxexam • New onset lower limb weakness/motor delay • Signs of systemic illness: ο Fever, mouth sores, joint pain, rash, weight xxxloss • Failure to thrive; Malabsorption


    • [PDF File]Pediatric Abdominal Pain - McGill University

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      Pediatric abdominal pain is a common complaint evaluated in emergency depart-ments (EDs). Although often due to benign causes, the varied and nonspecific presen-tations present a diagnostic challenge. Emergency care providers are tasked with the difficult job of remaining vigilant for the rare, yet devastating conditions while sorting through ...


    • [PDF File]Diagnostic Imaging of Pediatric Gastrointestinal Abnormalities

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      Meckel diverticulum -- most common cause of lower GI hemorrhage in previously healthy infants. More than 50% of these patients present with bleeding by the age of 2 years. Meckel diverticulum = vestigial remnant of the omphalomesenteric duct the most common congenital anomaly of the gastrointestinal tract, with an incidence of 1%–3% in the ...


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