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Pediatric GI problems Abdominal pain in children DDx: Acute abdominal pain Inflammatory: • Abdominal infection: appendicitis, gastroenteritis, UTI, mesenteric adenitis (post URTI), mumps pancreatitis, hepatitis. • Lower lobe pneumonia. • Autoimmune: IBD, HSP, DKA. Anatomical: • GI obstruction, constipation. • Meckel's complication e.g. obstruction, inflammation. However, Meckel's is usually asymptomatic. • Renal and genitourinary: hydronephrosis, menstruation. • Compressed anatomy: strangulated inguinal hernia, testis torsion. Acute abdominal pain in children often has no specific cause ('non-specific abdominal pain'), and resolves in 24h. Students can also use this service to download free books and upload slides. For more information, Visit on https://bookapp.page.link/tele.
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lower GIT bleeding: is bleeding from a source distal to the ligament of Treitz (duodenojejunal junction), presented as Hematochezia is blood passed with stool from the anus, Melena is black, tarry stool produced by the oxidation of heme by intestinal flora; as little as 50 mL of blood may result in melena, and it may persist for 3 to 5 days following resolution of the bleed. Maroon-colored stool is associated with rapidly bleeding small bowel lesions in which the transit of blood is too fast for complete oxidation. Currant-jelly stool is associated with ischemic small bowel or proximal colonic lesions such as may be seen in intussusception. Upper GIT bleeding: is bleeding from a source proximal to the ligament of Treitz (duodenojejunal junction). Discussion included the definition of bleeding per rectum, it's types according to child age groups, it's presentation, how to diagnose each type and how to treat.
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