Abdominal pain in children

Onset

Progression :small_blue_diamond:gotten better / worse / remained stable

Location

Intensity

Precipitating and relieving factors e.g,:point_right: relation with meals / sleep:point_right: any triggers

Trauma ? Bleeding ( ? accidental injury ? abuse )

Fever ? :small_blue_diamond: UTI :small_blue_diamond:pharyngitis:small_blue_diamond:gastroenteritis :small_blue_diamond:mesenteric lymphandenitis :small_blue_diamond:pneumonia:small_blue_diamond:appendicitis :small_blue_diamond:pelvic inflammatory disease

Rash ( purpura / pale ):arrow_right: HUS ( haemolytic urameic syndrome ? :arrow_right: Henoch-Schönlein purpura

Change in bowel habit ? constipation

Dysuria / urinary frequency

Nausea / vomiting:arrow_right: in surgical problem abdominal pain precedes vomiting whereas in medical conditions vomiting precedes abdominal pain:red_circle: bilious vomiting:face_vomiting: in infants and children should be taken as a sign of :point_right: intestinal obstruction

Known surgical problems , previous abdominal interventions any other associated comorbidities.

Temp ( :point_right: fever indicates infection or inflammation )

CRT / Heart rate / Resp rate

BP if paediatric cuff available:point_right: tachypnoe may indicate pneumonia:arrow_right: assess for hypovolemia ( :arrow_up: heart rate and :arrow_down: BP )

General appearance- observe:small_blue_diamond:gait :small_blue_diamond:position :small_blue_diamond:level of comfort:point_right: children with peritoneal irritation will remain still / resist movement

Abdominal examination - examine gently and move towards area of max tenderness:arrow_right: focal or generalised tenderness:arrow_right: guarding / rebound / rigidity:arrow_right: area of maximum tenderness:arrow_right: distension , masses ,organomegaly:arrow_right: genitalia / testis /...