Show Summary Details
Page of

Abdominal Pain 

Abdominal Pain
Chapter:
Abdominal Pain
Author(s):

Peter Gutierrez

DOI:
10.1093/med/9780190865412.003.0060
Page of

PRINTED FROM OXFORD MEDICINE ONLINE (www.oxfordmedicine.com). © Oxford University Press, 2016. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy and Legal Notice).

date: 16 June 2019

This chapter is a review of the approach to pediatric abdominal pain, specifically the recognition, diagnosis, and management of appendicitis. Topics covered include red flag symptoms for abdominal pain in the pediatric patient, classic and nonclassic appendicitis presentations, and physical exam techniques that can help in the diagnosis of appendicitis. Also discussed is the Pediatric Appendicitis Score, which rates risk based on anorexia; nausea/emesis; migration of pain; fever (>38°C); pain with cough, percussion, or hopping; right lower quadrant tenderness; white blood cell count; and absolute band count. Middle risk assessment may require further imaging whereas high risk assessment can proceed immediately to surgery. The chapter also compares imaging modalities and reviews the literature for medical versus surgical management of appendicitis.

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.