Burns' Pediatric Primary Care 7th edition
Epigastric pain can be from issues in which areas/organs: - Liver, biliary tree, pancreas, stomach, and
duodenum
Periumbilical pain can be caused by issues in which areas/organs: - distal end of the small intestine,
cecum, appendix, and ascending colon
Colonic pain is caused by issues in which area - Lower abdomin
Suprapubic pain is caused by issues in which organs/area? - distal intestine, urinary tract, pelvic organs,
Common Diagnositc studies for abdominal pain/issues - UA & culture, CBC w/diff, CMP,BMP, ESR,CRP,
Thyroid Panel
Stool= O&P, culture, WBC, pH, reducing substances, fat collection
Pregnancy tests, Urine for gonorrhea, chlamydia and Pap smear/Vaginal cultures
Common diagnostic studies for GI issues - XR, US, CT, MRI, nuclear medicine
Specialized tests that can be ordered - Duodenal Aspirate, Esophageal pH probe, Capsule endoscopy,
breath hydrogen test, and sweat chloride test
Indications for Duodenal Aspirate - diarrhea from things like giardia, unintentional weight loss,
dyspepsia(reflux/GERD), and abdominal pain
A hydrogen breath test can help diagnose: - IBS, Intestinal Methanogen overgrowth, rapid small bowel
transit time, and possibly esophageal and gastric cancer in early stages.
Sweat chloride test is used to diagnose: - Cystic Fibrosis. This is usually done when a patient is having
digestive problems, & FTT along with history of respiratory issues.
, Most common reasons for the use of Probiotics - IBS, Infectious diarrhea, antibiotic associated
diarrhea, and colic
What is Colic? - Crying for no apparent reason that lasts > 3 hrs/day and occurs > 3 days/wk in
otherwise healthy infant <3months
Potential causes of vomiting in Newborn or young infants - infectious process, congenital GI anomaly,
CNS abnormality, or newborn errors of metabolism
Potential causes of vomiting in Infants or young children - Gastroenteritis, GERD, milk/soy protien
allergies, pyloric stenosis or obstructive lesion, inborn errors of metabolism, intussusception, child
abuse, &intracranial mass
Potential causes of vomiting in older children and adolescents - Gastroenteritis, systemic illness, CNS
(cyclic vomiting syndrome, abdominal migraine, meningitis, brain tumor), intussusception, rumination,
superior mesenteric artery syndrome, pregnancy
_________ is one of the most common symptoms in childhood. - vomiting
Non-bilious vomiting is generally caused by: - infection, inflammation, and metabolic, neurologic, or
psychological problems.
An ------- -------- generally causes causes bilious vomiting. - obstructive lesion
Bloody vomit comes from: - active bleeding in the upper GI tract (gastritis, peptic ulcer disease)
Rumination Syndrome - a condition in which people repeatedly and unintentionally spit up
(regurgitate) undigested or partially digested food from the stomach, rechew it, and then either
reswallow it or spit it out. Usually seen in infants under 1 year of age.
What is superior mesenteric artery syndrome? - a digestive condition that occurs when the duodenum
(the first part of the small intestine) is compressed between two arteries (the aorta and the superior
mesenteric artery). This compression causes partial or complete blockage of the duodenum.
Epigastric pain can be from issues in which areas/organs: - Liver, biliary tree, pancreas, stomach, and
duodenum
Periumbilical pain can be caused by issues in which areas/organs: - distal end of the small intestine,
cecum, appendix, and ascending colon
Colonic pain is caused by issues in which area - Lower abdomin
Suprapubic pain is caused by issues in which organs/area? - distal intestine, urinary tract, pelvic organs,
Common Diagnositc studies for abdominal pain/issues - UA & culture, CBC w/diff, CMP,BMP, ESR,CRP,
Thyroid Panel
Stool= O&P, culture, WBC, pH, reducing substances, fat collection
Pregnancy tests, Urine for gonorrhea, chlamydia and Pap smear/Vaginal cultures
Common diagnostic studies for GI issues - XR, US, CT, MRI, nuclear medicine
Specialized tests that can be ordered - Duodenal Aspirate, Esophageal pH probe, Capsule endoscopy,
breath hydrogen test, and sweat chloride test
Indications for Duodenal Aspirate - diarrhea from things like giardia, unintentional weight loss,
dyspepsia(reflux/GERD), and abdominal pain
A hydrogen breath test can help diagnose: - IBS, Intestinal Methanogen overgrowth, rapid small bowel
transit time, and possibly esophageal and gastric cancer in early stages.
Sweat chloride test is used to diagnose: - Cystic Fibrosis. This is usually done when a patient is having
digestive problems, & FTT along with history of respiratory issues.
, Most common reasons for the use of Probiotics - IBS, Infectious diarrhea, antibiotic associated
diarrhea, and colic
What is Colic? - Crying for no apparent reason that lasts > 3 hrs/day and occurs > 3 days/wk in
otherwise healthy infant <3months
Potential causes of vomiting in Newborn or young infants - infectious process, congenital GI anomaly,
CNS abnormality, or newborn errors of metabolism
Potential causes of vomiting in Infants or young children - Gastroenteritis, GERD, milk/soy protien
allergies, pyloric stenosis or obstructive lesion, inborn errors of metabolism, intussusception, child
abuse, &intracranial mass
Potential causes of vomiting in older children and adolescents - Gastroenteritis, systemic illness, CNS
(cyclic vomiting syndrome, abdominal migraine, meningitis, brain tumor), intussusception, rumination,
superior mesenteric artery syndrome, pregnancy
_________ is one of the most common symptoms in childhood. - vomiting
Non-bilious vomiting is generally caused by: - infection, inflammation, and metabolic, neurologic, or
psychological problems.
An ------- -------- generally causes causes bilious vomiting. - obstructive lesion
Bloody vomit comes from: - active bleeding in the upper GI tract (gastritis, peptic ulcer disease)
Rumination Syndrome - a condition in which people repeatedly and unintentionally spit up
(regurgitate) undigested or partially digested food from the stomach, rechew it, and then either
reswallow it or spit it out. Usually seen in infants under 1 year of age.
What is superior mesenteric artery syndrome? - a digestive condition that occurs when the duodenum
(the first part of the small intestine) is compressed between two arteries (the aorta and the superior
mesenteric artery). This compression causes partial or complete blockage of the duodenum.
