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NR 602 Final Exam Chamberlain Spring
2025
COLIC
Unknown abdominal discomfort;
"cries for more than 3 hours a day, for more than 3 days a week, and more
than 3 weeks"
Colic Management
Probiotics may be offered; Consideration of hydrolyzed protein formula
DEHYDRATION Management
Commercially available oral hydration solutions (ORS)
Continue breastfeeding with ORS supplementation
Offer young children 20 ml/kg per hour
Offer older children 100 mL of ORS every 5 minutes
pg. 1
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Combine with IV therapy as needed
Reassess after 4 hours; repeat if needed
Avoid juice, soft drinks, and sports drinks
Appendicitis S/S
Presence of involuntary guarding,
RLQ rebound tenderness, maximal pain over McBurney point
Heel-drop jarring test
inability to stand straight or climb stairs; winces when getting off
examination table or riding in a car over bumps;
child most comfortable with bent knees.
Positive psoas sign or obturator sign
Rovsing sign or rebound tenderness strongly suggests peritoneal irritation.
Tenderness and possibly a mass (abscess) on the right side on rectal
examination.
McBurney point/sign
pg. 2
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, https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch
Pain w/ palpation and release; Rebound tenderness is most reliable.
1.5 to 2 inches in from the right anterior superior iliac crest (on a line toward
the umbilicus) on abdominal examination (most reliable finding
positive psoas sign
retract R thigh while on left side; illicit pain consistent with appendicitis
Positive Rovsing Sign
Pain RLQ w/ pressure and release of LLQ; R/O appendicitis
Positive Obturator Sign
Supine; bend R leg and rotate inward; illicit pain in RLQ
Intusscuception
pg. 3
https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch
NR 602 Final Exam Chamberlain Spring
2025
COLIC
Unknown abdominal discomfort;
"cries for more than 3 hours a day, for more than 3 days a week, and more
than 3 weeks"
Colic Management
Probiotics may be offered; Consideration of hydrolyzed protein formula
DEHYDRATION Management
Commercially available oral hydration solutions (ORS)
Continue breastfeeding with ORS supplementation
Offer young children 20 ml/kg per hour
Offer older children 100 mL of ORS every 5 minutes
pg. 1
https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch
,https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch
Combine with IV therapy as needed
Reassess after 4 hours; repeat if needed
Avoid juice, soft drinks, and sports drinks
Appendicitis S/S
Presence of involuntary guarding,
RLQ rebound tenderness, maximal pain over McBurney point
Heel-drop jarring test
inability to stand straight or climb stairs; winces when getting off
examination table or riding in a car over bumps;
child most comfortable with bent knees.
Positive psoas sign or obturator sign
Rovsing sign or rebound tenderness strongly suggests peritoneal irritation.
Tenderness and possibly a mass (abscess) on the right side on rectal
examination.
McBurney point/sign
pg. 2
https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch
, https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch
Pain w/ palpation and release; Rebound tenderness is most reliable.
1.5 to 2 inches in from the right anterior superior iliac crest (on a line toward
the umbilicus) on abdominal examination (most reliable finding
positive psoas sign
retract R thigh while on left side; illicit pain consistent with appendicitis
Positive Rovsing Sign
Pain RLQ w/ pressure and release of LLQ; R/O appendicitis
Positive Obturator Sign
Supine; bend R leg and rotate inward; illicit pain in RLQ
Intusscuception
pg. 3
https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch
