Pediatric Abdominal Pain What Not to Miss in Primary Care

57 Pages·2012·5.92 MB·English

October 25, 2012
Karen Santucci, M.D.
Associate Professor of Pediatrics
Section Chief
Pediatric Emergency Medicine
Yale-New Haven Children’s Hospital
(cid:1) I have no relevant financial relations with the
manufacturers of any commercial products and/or
providers of commercial services discussed in this
CME activity
(cid:1) I do not intend to discuss an unapproved/investigative
use of a commercial product/device in my
presentation.
(cid:1) I do intend to work for the FBI one day
and I do like Clinical Forensic Medicine
(cid:1) While some of the cases may appear psych0-
crazy…they are all from the SANTUCCI FILES
(cid:1) Know common abdominal emergencies at different
ages
(cid:1) Recognize the signs and symptoms that may help
ddiissttiinngguuiisshh lliiffee--tthhrreeaatteenniinngg eemmeerrggeenncciieess ffrroomm lleessss
severe
(cid:1) Decide what diagnostic tests may help you evaluate
abdominal pain in children
(cid:1) Keep you awake and intrigued throughout

(cid:1) Born full term
(cid:1) Spitting up
(cid:1) Colicky
(cid:1) 3 visits to the Pediatrician’s office this week
(cid:1)(cid:1) MMoorree ssppiittttiinngg uupp ?? GGEERRDD??
(cid:1) Mom calls PMD at 9am who requests a rectal temp
and advises “if no fever come in for an urgent visit at 1
pm”
(cid:1) Rectal temp was 96.4 F (no fever!)
(cid:1) Both Mom and baby lay down for a nap
(cid:1) Mom awakens from her nap at 11:30
(cid:1) The baby is cyanotic and apneic
(cid:1)(cid:1) EEMMSS iiss aaccttiivvaatteedd
(cid:1) Resuscitative efforts
initiated….
(cid:1) Transported to our PED
(cid:1) She could not be
resuscitated!!