Abdominal Pain & Abdominal Mass

Appendicitis
Constipation
Functional abdominal pain
Neuroblastoma
Ovarian torsion
Pregnancy
Wilm’s tumor
  • Describe the anatomy, physiology and embryology of the gastrointestinal, genitourinary and reproductive systems
  • Relate locations and patters of abdominal pain to basic anatomy and physiology
  • Describe normal stooling patters and the influence of diet
  • Describe the differences between upper and lower intestinal obstruction and their clinical manifestations
  • Identify investigations that may be used in the evaluation of abdominal pain

Overview & Foundational Knowledge

Zeiter DK & Hyams JS. Recurrent abdominal pain in children. Pediatric Clinics of North America 2002; 49 (1): 53-71.

https://doi.org/10.1016/s0031-3955(03)00108-1

Case based overview article discussing differential diagnosis of chronic functional abdominal pain.

Robert D. Baker; Acute Abdominal Pain. Pediatr Rev March 2018; 39 (3): 130–139.

https://doi.org/10.1542/pir.2017-0089

Reust CE, Williams A. Acute Abdominal Pain in Children. Am Fam Physician. 2016 May 15;93(10):830-6. PMID: 27175718.

https://pubmed.ncbi.nlm.nih.gov/27175718/

Paul E. Hyman; Chronic and Recurrent Abdominal Pain. Pediatr Rev September 2016; 37 (9): 377–390.

https://doi.org/10.1542/pir.2015-0169

Kaskowitz A & Quint E. A Practical Overview of Managing Adolescent Gynecologic Conditions in the Pediatric Office. Pediatrics in Review Vol. 35 No. 9 September 1, 2014, pp. 371–381.

https://doi.org/10.1542/pir.35-9-371

A review article on many different gynecological conditions including vulvovaginal disorders, STI, PID, pelvic pain and pelvic masses.

Potisek NJ & Antoon JW. Abdominal Masses. Pediatrics in Review. February 2017. 38 (2); 101-103.

https://doi.org/10.1542/pir.2016-0087

Brief review article discussing abdominal masses in children using an anatomical location approach

Clinical Resources

Children’s Digestive Health Information for Kids and Parents

http://www.gikids.org/

This website is excellent for patient information

CHEO Constipation guidelines:

https://www.cheo.on.ca/

Virtual Patients or Cases

Acute and Chronic Abdominal Pain.

https://www.pedscases.com/

https://itunes.apple.com/ca/podcast/pedscases.com-pediatrics-for/id330446233

Audio podcast of an approach to acute abdominal pain (13:28 minutes). Audio podcast of an approach to chronic abdominal pain  (13:42 minutes).

Abdominal Pain

https://www.pedscases.com/

Case based quiz on abdominal pain in a child.

Cards

Abdominal Pain / Mass

Abdominal Pain / Mass cards

Canuc-Paeds physician authored, replayable cases