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Paediatric Symptom and Sign Sorter Second Edition PDF

Paediatric Symptom and Sign Sorter Second Edition

Paediatric Symptom  and Sign Sorter Second Edition

Hi Dear Budding doctors thanks for visiting our website Medcravers now in this post you will have some clear view of pediatrics differential diagnosis as well as the treat ment part and Paediatric Symptom and Sign Sorter Second Edition is Really a great book for Residents as well as intern doctor’s.

Paediatric Symptom and Sign Sorter Second Edition

Abdomen in children

Acute abdominal pain is one of the most common symptoms in children. The main objective in dealing with acute abdominal pain is to differentiate between benign self-limited conditions, such  as constipation or gastroenteritis, and more life-threatening surgical conditions such as volvulus or appendicitis.

The term acute abdomen refers to an intra-abdominal condition, which usually requires a surgical intervention, such as appendicitis. This accounts for around 1% of all children presenting with acute abdominal pain. Pain is classified as visceral pain that is usually dull, poorly localized and perceived in the midline in response to mechanical (stretching or ischaemia) and chemical stimuli.

Visceral pain originating from the foregut (e.g. lower oesophagus, stomach) is typically felt in the epigastric area; pain originating from the midgut (e.g. small intestine) is typically felt in the peri-umbilical area; and pain originating from the hindgut (e.g. colon) is typically felt in the lower abdomen. Somatic pain receptors are located in the parietal peritoneum, muscle and skin, which transmit pain via the spinal cord from T6 to L1. Somatic pain is typically sharp, intense and well localised.

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Referred pain is felt in distant areas of the same cutaneous dermatome as  the affected organs, e.g. pneumonia or pharyngitis causing abdominal pain. Pain can be sharp and localised or a vague ache.

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