Tag abdominal pain

Small Bowel Intussusception

Intussusception is a common concern that we manage when faced with a child with abdominal pain and/or vomiting. We have discussed multiple aspects of the evaluation and management of intussusception (ex, Intussusception, Intussusception and HSP, Change in Mental Status, and…

Intussusception Discharge

The Ped EM Morsels have discussed several medical myths (ex, Atropine, Morphine for Appendicitis, IV Fluids for rehydration), but remember that “myths” were not born from madness.  Previously, physicians were not maliciously inventing erroneous plans; they were doing what was deemed most…

Low Risk for Intra Abdominal Trauma

We have discussed pediatric trauma several times within the PedEM Morsels (Splenic Injury, Head Injury, Pneumothorax, etc), because it is often a source of trepidation, confusion and concern.  This often leads to over-reliance on ionizing radiation to help alleviate concern.  Naturally, this is…

Recurrent Abdominal Pain

Like Sisyphus, you may feel that you are continually pushing a diagnostic boulder up a mountain only to watch it roll back down.  Certainly, some diagnoses offer less of an incline to overcome; however, others, like Chronic Recurrent Abdominal Pain (CRAP),…

Ovarian Torsion

              We all know that abdominal pain is a common complaint that in the ED.  The differential is vast and includes some terrible conditions (ex, Intussusception, Necrotizing Enterocolitis, Malrotation) as well as rather common…

Typhlitis

We all care for many children who present with fever, nausea, and vomiting.  Naturally, one of our first goals is to consider severe and life-threatening conditions and, fortunately, many times these are apparent on clinical exam.  Unfortunately, certain patient populations,…