In this episode Dr Colin Gilhooley joined us to go through non-abdominal causes of abdominal pain in children thus bringing the Abdominal Pain in Children trilogy to a close.
Causes discussed include:
Here's the Take Visually for this podcast:
In this episode Dr Colin Gilhooley talks through the more common causes of abdominal pain in children as well as how to approach treatment.
The NICE Guidelines for UTIs in children can be found here.
Here is our Take Visually for this episode:
Dr Colin Gilhooley came down to the Take Aurally booth to start the trilogy of Abdominal Pain in Children. For the first episode we discussed the serious 'never miss' causes of abdominal pain; an approach based on the age of the patient.
Neonate - 2 months: Malrotation, Incarcerated hernia and Necrotising Enterocolitis.
2 months - 2 years: Intussusception, Hirschsprung's Disease (risk of enterocolitis post procedure), Meckel's Diverticulum (rule of twos), Trauma as the patient becomes more and more ambulant, Foreign bodies (including the risks of button batteries and magnets).
Remember only 15% of patients will have the classic triad of colicky pain, abdominal mass and redcurrant jelly!
>2 year olds: Trauma, Foreign bodies, Gynaecological causes, Testicular torsion and Appendicitis become more likely as the patient gets older.
Also think Oncological causes of abdominal pain.
The key point throughout is a low threshold of concern and early referral to a senior or the surgical team.
Here's our Take Visually graphic for this podcast:
