Paediatric gastroenterology: Difference between revisions
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Gastroenterological problems are the most common problems in [[paediatrics]] (with the possible exception of [[paediatric respiratory|respiratory disease]]). ''Diarrhoea and fluid management are the bread and butter of paediatrics'' - it is essentially about differentiating between seriously ill and mildly ill children. [[image:breadandbutter.jpg|right|thumb|250px|A complement to a meal for many, but in paediatrics, you can expect this to be replaced with diarrhoea and fluid management]] Abdominal pain can often be indiciative of serious or life-threatening pathology and again detection of the seriously sick child is essential.<br> | __NOTOC__ | ||
Gastroenterological problems are the most common problems in [[paediatrics]] (with the possible exception of [[paediatric respiratory|respiratory disease]]). '''Diarrhoea and fluid management are the bread and butter of paediatrics''' - it is essentially about differentiating between seriously ill and mildly ill children. [[image:breadandbutter.jpg|right|thumb|250px|A complement to a meal for many, but in paediatrics, you can expect this to be replaced with diarrhoea and fluid management]] Abdominal pain can often be indiciative of serious or life-threatening pathology and again detection of the seriously sick child is essential.<br> | |||
===Vomiting=== | ===Vomiting=== | ||
Be careful when given the symptom of 'vomiting' by parents. Often, this can be something physiological which is not due to a disease process and does not need to be treated. | Be careful when given the symptom of 'vomiting' by parents. Often, this can be something physiological which is not due to a disease process and does not need to be treated. | ||
*[[Feeding]] | *[[Feeding]] | ||
*[[Reflux|Gastro-Oesophageal Reflux Disease]] | *[[Paediatric Reflux|Gastro-Oesophageal Reflux Disease]] | ||
*[[Paediatric | *[[Paediatric gastroenteritis|Gastroenteritis]] | ||
*[[Infectious | *[[Infectious causes of vomiting|Other Infectious Causes Of Vomiting]] | ||
*[[Malformations|Malformations Of The GI Tract]] | *[[Pyloric stenosis]] | ||
*[[Malformations of the GI tract|Malformations Of The GI Tract]] | |||
===Diarrhoea=== | ===Diarrhoea=== | ||
Probably the most common symptom in paediatrics, it is massively important to be able to pick out the serious causes of this symptom. Toddler's diarrhoea is benign and a normal part of childhood whereas inflammatory bowel disease is a serious long-term illness with huge consequences. | Probably the most common symptom in paediatrics, it is massively important to be able to pick out the serious causes of this symptom. Toddler's diarrhoea is benign and a normal part of childhood whereas inflammatory bowel disease is a serious long-term illness with huge consequences. | ||
*[[Toddler's | *[[Toddler's diarrhoea]] | ||
*[[Paediatric | *[[Paediatric gastroenteritis |Gastroenteritis]] | ||
*[[Malabsoprtion]] | *[[Malabsoprtion]] | ||
*[[Inflammatory | *[[Inflammatory bowel disease]] | ||
===Abdominal Pain | ===Acute Abdominal Pain=== | ||
As mentioned above, this condition can by symptomatic of a range of illnesses which are fatal if untreated. These fatal illnesses are generally surgical in nature and, as such, '''acute abdominal pain should be considered surgical until proven otherwise'''. | As mentioned above, this condition can by symptomatic of a range of illnesses which are fatal if untreated. These fatal illnesses are generally surgical in nature and, as such, '''acute abdominal pain should be considered surgical until proven otherwise'''. | ||
*[[Paediatric | *[[Paediatric acute appendicitis|Appendicitis]] | ||
*[[Intussusception]] | *[[Intussusception]] | ||
*[[Paediatric Meckel's | *[[Paediatric Meckel's diverticulum|Meckel's Diverticulum]] | ||
*[[Malrotation]] | *[[Malrotation]] | ||
====Recurrent/Chronic==== | ====Recurrent/Chronic Abdominal Pain==== | ||
*[[Paediatric | *[[Paediatric irritable bowel syndrome|IBS]] | ||
*[[Paediatric | *[[Paediatric dyspepsia|Dyspepsia]] | ||
*[[Abdominal migraine]] | |||
*[[Abdominal | |||
===Constipation=== | ===Constipation=== | ||
[[Paediatric | [[Paediatric constipation|Constipation]] is the passing of painful, hard and infrequent stools. It is an incredibly common symptom in paediatrics so you need to know something about it's management. Occasionally, it can be a sign of more serious pathophysiology. | ||
===Failure To Thrive=== | ===Failure To Thrive=== | ||
[[ | [[Failure to thrive]] is a symptom which always needs to be investigated. It can be a sign of many different conditions from poor feeding to cancer to child abuse. | ||
Latest revision as of 16:38, 13 September 2009
Gastroenterological problems are the most common problems in paediatrics (with the possible exception of respiratory disease). Diarrhoea and fluid management are the bread and butter of paediatrics - it is essentially about differentiating between seriously ill and mildly ill children.
Abdominal pain can often be indiciative of serious or life-threatening pathology and again detection of the seriously sick child is essential.
Vomiting
Be careful when given the symptom of 'vomiting' by parents. Often, this can be something physiological which is not due to a disease process and does not need to be treated.
- Feeding
- Gastro-Oesophageal Reflux Disease
- Gastroenteritis
- Other Infectious Causes Of Vomiting
- Pyloric stenosis
- Malformations Of The GI Tract
Diarrhoea
Probably the most common symptom in paediatrics, it is massively important to be able to pick out the serious causes of this symptom. Toddler's diarrhoea is benign and a normal part of childhood whereas inflammatory bowel disease is a serious long-term illness with huge consequences.
Acute Abdominal Pain
As mentioned above, this condition can by symptomatic of a range of illnesses which are fatal if untreated. These fatal illnesses are generally surgical in nature and, as such, acute abdominal pain should be considered surgical until proven otherwise.
Recurrent/Chronic Abdominal Pain
Constipation
Constipation is the passing of painful, hard and infrequent stools. It is an incredibly common symptom in paediatrics so you need to know something about it's management. Occasionally, it can be a sign of more serious pathophysiology.
Failure To Thrive
Failure to thrive is a symptom which always needs to be investigated. It can be a sign of many different conditions from poor feeding to cancer to child abuse.