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Acute Abdominal Pain in Children

Acute Abdominal Pain in Children. 萬芳家醫科 實習報告 組別 7 2003/07/31 – 2003/08/08 姓名 施富傑. Pain. Visceral pain Parietal pain Referred pain. Visceral pain. Visceral pain fibers: Bilateral,unmyelinated, enter the spinal cord at multiple area Visceral pain: dull, poor localized. Parietal pain.

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Acute Abdominal Pain in Children

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  1. Acute Abdominal Pain in Children 萬芳家醫科 實習報告 組別 7 2003/07/31 – 2003/08/08 姓名 施富傑

  2. Pain • Visceral pain • Parietal pain • Referred pain

  3. Visceral pain • Visceral pain fibers: Bilateral,unmyelinated, enter the spinal cord at multiple area • Visceral pain: dull, poor localized

  4. Parietal pain • Parietal pain fiber: myelinated , enter specific dorsal root ganglia • Parietal pain: sharp, intense, discrete, localized

  5. Referred pain • Referred pain:the disease organ and remote area share the central pathways

  6. Cause of Acute Abdominal Pain in Children • Gastroinstestinal causes • Live, spleen, and biliary tract disorders • Genitourinary causes • Metabolic disorders • Hematologic disorders • Drug and toxins • Pulmonary causes

  7. Clinical Evaluation • History • Physical examination • Investigation • Management

  8. History • Age • Pain history • Precipitating or Relieving factor • Recent trauma • Associated symptoms • Gynecologic history • Past history • Family history

  9. Physical examination • General appearance • Vital signs • Abdominal examination • Rectal and pelvic examination • Associated signs

  10. Investigation • Blood cell count • Urinalysis • Plain-film abdominal radiographs • Ultrasonography • CT

  11. Management • Indications for surgical consultations in Children with Acute abdominal Pain

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