{"id":160,"date":"2014-03-17T02:48:58","date_gmt":"2014-03-17T02:48:58","guid":{"rendered":"https:\/\/www.pupdoc.ca\/?page_id=160"},"modified":"2025-10-01T01:28:32","modified_gmt":"2025-10-01T01:28:32","slug":"abdominal-pain-abdominal-mass","status":"publish","type":"page","link":"https:\/\/www.pupdoc.ca\/en\/abdominal-pain-abdominal-mass\/","title":{"rendered":"Abdominal Pain &#038; Abdominal Mass"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; inner_shadow=&#8221;on&#8221; fullwidth=&#8221;on&#8221; _builder_version=&#8221;4.16&#8243; background_color=&#8221;#961622&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_fullwidth_header title=&#8221;Abdominal Pain &#038; Abdominal Mass&#8221; text_orientation=&#8221;center&#8221; _builder_version=&#8221;4.16&#8243; background_color=&#8221;rgba(255, 255, 255, 0)&#8221; button_one_letter_spacing_hover=&#8221;0&#8243; button_two_letter_spacing_hover=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; button_one_text_size__hover_enabled=&#8221;off&#8221; button_two_text_size__hover_enabled=&#8221;off&#8221; button_one_text_color__hover_enabled=&#8221;off&#8221; button_two_text_color__hover_enabled=&#8221;off&#8221; button_one_border_width__hover_enabled=&#8221;off&#8221; button_two_border_width__hover_enabled=&#8221;off&#8221; button_one_border_color__hover_enabled=&#8221;off&#8221; button_two_border_color__hover_enabled=&#8221;off&#8221; button_one_border_radius__hover_enabled=&#8221;off&#8221; button_two_border_radius__hover_enabled=&#8221;off&#8221; button_one_letter_spacing__hover_enabled=&#8221;on&#8221; button_one_letter_spacing__hover=&#8221;0&#8243; button_two_letter_spacing__hover_enabled=&#8221;on&#8221; button_two_letter_spacing__hover=&#8221;0&#8243; button_one_bg_color__hover_enabled=&#8221;off&#8221; button_two_bg_color__hover_enabled=&#8221;off&#8221;][\/et_pb_fullwidth_header][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; inner_shadow=&#8221;on&#8221; _builder_version=&#8221;4.16&#8243; background_color=&#8221;#ffffff&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.16&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_tabs module_class=&#8221;key-conditions&#8221; _builder_version=&#8221;4.27.4&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; hover_enabled=&#8221;0&#8243; z_index_tablet=&#8221;500&#8243; border_style=&#8221;solid&#8221; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;][et_pb_tab title=&#8221;Key Conditions&#8221; _builder_version=&#8221;4.16&#8243; body_font=&#8221;||||&#8221; tab_font=&#8221;||||&#8221; global_colors_info=&#8221;{}&#8221;]Appendicitis<br \/>\nConstipation<br \/>\nFunctional abdominal pain<br \/>\nNeuroblastoma<br \/>\nOvarian torsion<br \/>\nPregnancy<br \/>\nWilm\u2019s tumor<br \/>\n[\/et_pb_tab][et_pb_tab title=&#8221;Foundational Knowledge&#8221; _builder_version=&#8221;4.16&#8243; body_font=&#8221;||||&#8221; tab_font=&#8221;||||&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<ul>\n<li>Describe the anatomy, physiology and embryology of the gastrointestinal, genitourinary and reproductive systems<\/li>\n<li>Relate locations and patters of abdominal pain to basic anatomy and physiology<\/li>\n<li>Describe normal stooling patters and the influence of diet<\/li>\n<li>Describe the differences between upper and lower intestinal obstruction and their clinical manifestations<\/li>\n<li>Identify investigations that may be used in the evaluation of abdominal pain<\/li>\n<\/ul>\n<p>[\/et_pb_tab][et_pb_tab title=&#8221;Resources&#8221; _builder_version=&#8221;4.27.4&#8243; body_font=&#8221;||||&#8221; tab_font=&#8221;||||&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]<div class='et-learn-more clearfix'>\n\t\t\t\t\t<h3 class='heading-more'>Overview &amp; Foundational Knowledge<span class='et_learnmore_arrow'><span><\/span><\/span><\/h3>\n\t\t\t\t\t<div class='learn-more-content'><table>\n<tbody>\n<tr>\n<td><strong>Zeiter DK &amp; Hyams JS. Recurrent abdominal pain in children. Pediatric Clinics of North America 2002; 49 (1): 53-71.<\/strong><\/p>\n<p><a href=\"https:\/\/doi.org\/10.1016\/s0031-3955(03)00108-1\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/doi.org\/10.1016\/s0031-3955(03)00108-1<\/a><\/p>\n<p><em>Case based overview article discussing differential diagnosis of chronic functional abdominal pain.<\/em><\/td>\n<\/tr>\n<tr>\n<td><strong>Robert D. Baker; Acute Abdominal Pain. Pediatr Rev March 2018; 39 (3): 130\u2013139. <\/strong><\/p>\n<p><a href=\"https:\/\/doi.org\/10.1542\/pir.2017-0089 \" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/doi.org\/10.1542\/pir.2017-0089 <\/a><\/p>\n<\/tr>\n<tr>\n<td><strong>Reust CE, Williams A. Acute Abdominal Pain in Children. Am Fam Physician. 2016 May 15;93(10):830-6. PMID: 27175718.<\/strong><\/p>\n<p><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/27175718\/  \" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/pubmed.ncbi.nlm.nih.gov\/27175718\/  <\/a><\/p>\n<\/tr>\n<tr>\n<td><strong>Paul E. Hyman; Chronic and Recurrent Abdominal Pain. Pediatr Rev September 2016; 37 (9): 377\u2013390. <\/strong><\/p>\n<p><a href=\"https:\/\/doi.org\/10.1542\/pir.2015-0169 \" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/doi.org\/10.1542\/pir.2015-0169 <\/a><\/p>\n<\/tr>\n<tr>\n<td><strong>Kaskowitz A &amp; 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\u2013381.<\/strong><\/p>\n<p><a href=\"https:\/\/doi.org\/10.1542\/pir.35-9-371\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/doi.org\/10.1542\/pir.35-9-371<\/a><\/p>\n<p><em>A review article on many different gynecological conditions including vulvovaginal disorders, STI, PID, pelvic pain and pelvic masses.<\/em><\/td>\n<\/tr>\n<tr>\n<td><strong>Potisek NJ &amp; Antoon JW. Abdominal Masses. Pediatrics in Review. February 2017. 38 (2); 101-103.<\/strong><\/p>\n<p><a href=\"https:\/\/doi.org\/10.1542\/pir.2016-0087\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/doi.org\/10.1542\/pir.2016-0087<\/a><\/p>\n<p><em>Brief review article discussing abdominal masses in children using an anatomical location approach<\/em><\/td>\n<\/tr>\n<\/tbody>\n<\/table><\/div>\n\t\t\t\t<\/div><\/p>\n<div class='et-learn-more clearfix'>\n\t\t\t\t\t<h3 class='heading-more'>Clinical Resources<span class='et_learnmore_arrow'><span><\/span><\/span><\/h3>\n\t\t\t\t\t<div class='learn-more-content'><table>\n<tbody>\n<tr>\n<td><strong>Children\u2019s Digestive Health Information for Kids and Parents<\/strong><\/p>\n<p><a href=\"http:\/\/www.gikids.org\/\" target=\"_blank\" rel=\"noopener noreferrer\">http:\/\/www.gikids.org\/<\/a><\/p>\n<p><em>This website is excellent for patient information<\/em><\/td>\n<\/tr>\n<tr>\n<td><strong>CHEO Constipation guidelines:<\/strong><\/p>\n<p><a href=\"https:\/\/www.cheo.on.ca\/en\/resources-and-support\/resources\/P5593E.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/www.cheo.on.ca\/<\/a><\/p>\n<\/tr>\n<\/tbody>\n<\/table><\/div>\n\t\t\t\t<\/div>\n<div class='et-learn-more clearfix'>\n\t\t\t\t\t<h3 class='heading-more'>Virtual Patients or Cases<span class='et_learnmore_arrow'><span><\/span><\/span><\/h3>\n\t\t\t\t\t<div class='learn-more-content'><table>\n<tbody>\n<tr>\n<td><strong>Acute and Chronic Abdominal Pain.<\/strong><\/p>\n<p><a href=\"https:\/\/www.pedscases.com\/\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/www.pedscases.com\/<\/a><\/p>\n<p><a href=\"https:\/\/itunes.apple.com\/ca\/podcast\/pedscases.com-pediatrics-for\/id330446233\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/itunes.apple.com\/ca\/podcast\/pedscases.com-pediatrics-for\/id330446233<\/a><\/p>\n<p><em>Audio podcast of an approach to acute abdominal pain (13:28 minutes).&nbsp;Audio podcast of an approach to chronic abdominal pain&nbsp; (13:42 minutes).<\/em><\/td>\n<\/tr>\n<tr>\n<td><strong>Abdominal Pain<\/strong><\/p>\n<p><a href=\"https:\/\/www.pedscases.com\/\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/www.pedscases.com\/<\/a><\/p>\n<p><em>Case based quiz on abdominal pain in a child.<\/em><\/td>\n<\/tr>\n<\/tbody>\n<\/table><\/div>\n\t\t\t\t<\/div>\n<div class='et-learn-more clearfix'>\n\t\t\t\t\t<h3 class='heading-more'>Cards<span class='et_learnmore_arrow'><span><\/span><\/span><\/h3>\n\t\t\t\t\t<div class='learn-more-content'><table>\n<tbody>\n<tr>\n<td><strong>Abdominal Pain \/ Mass<\/strong><\/p>\n<p><a href=\"https:\/\/cards.ucalgary.ca\/deck\/204\" target=\"_blank\" rel=\"noopener noreferrer\">Abdominal Pain \/ Mass cards<\/a><\/p>\n<p><em>Canuc-Paeds physician authored, replayable cases<\/em><\/td>\n<\/tr>\n<tr>\n<\/tr>\n<\/tbody>\n<\/table><\/div>\n\t\t\t\t<\/div>[\/et_pb_tab][\/et_pb_tabs][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; fullwidth=&#8221;on&#8221; _builder_version=&#8221;3.19.9&#8243; background_color=&#8221;#eeeeee&#8221; global_module=&#8221;2263&#8243; collapsed=&#8221;on&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_fullwidth_header text_orientation=&#8221;center&#8221; logo_image_url=&#8221;https:\/\/www.pupdoc.ca\/wp-content\/uploads\/2018\/12\/canuc-paeds.png&#8221; _builder_version=&#8221;4.16&#8243; background_color=&#8221;rgba(255, 255, 255, 0)&#8221; background_layout=&#8221;light&#8221; max_width_tablet=&#8221;50px&#8221; custom_padding=&#8221;7px|0px|0px|0px&#8221; custom_padding_tablet=&#8221;&#8221; custom_padding_phone=&#8221;&#8221; custom_padding_last_edited=&#8221;on|phone&#8221; custom_css_main_element=&#8221;max-height: max-content;&#8221; global_colors_info=&#8221;{}&#8221; button_one_text_size__hover_enabled=&#8221;off&#8221; button_two_text_size__hover_enabled=&#8221;off&#8221; button_one_text_color__hover_enabled=&#8221;off&#8221; button_two_text_color__hover_enabled=&#8221;off&#8221; button_one_border_width__hover_enabled=&#8221;off&#8221; button_two_border_width__hover_enabled=&#8221;off&#8221; button_one_border_color__hover_enabled=&#8221;off&#8221; button_two_border_color__hover_enabled=&#8221;off&#8221; button_one_border_radius__hover_enabled=&#8221;off&#8221; button_two_border_radius__hover_enabled=&#8221;off&#8221; button_one_letter_spacing__hover_enabled=&#8221;off&#8221; button_two_letter_spacing__hover_enabled=&#8221;off&#8221; button_one_bg_color__hover_enabled=&#8221;off&#8221; button_two_bg_color__hover_enabled=&#8221;off&#8221;][\/et_pb_fullwidth_header][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.16&#8243; background_color=&#8221;#ffffff&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row column_structure=&#8221;1_3,1_3,1_3&#8243; _builder_version=&#8221;4.16&#8243; custom_margin=&#8221;||0px|&#8221; custom_margin_tablet=&#8221;&#8221; custom_margin_phone=&#8221;&#8221; custom_margin_last_edited=&#8221;on|tablet&#8221; custom_padding=&#8221;||0px|&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;1_3&#8243; _builder_version=&#8221;4.16&#8243; background_position=&#8221;top_left&#8221; custom_padding=&#8221;||0px|&#8221; custom_padding_tablet=&#8221;||0px|&#8221; custom_padding_phone=&#8221;||0px|&#8221; custom_padding_last_edited=&#8221;on|desktop&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text module_class=&#8221;menu-clinical-line-height&#8221; _builder_version=&#8221;4.16&#8243; text_line_height=&#8221;1.4em&#8221; custom_margin=&#8221;||0px|&#8221; custom_margin_tablet=&#8221;&#8221; custom_margin_phone=&#8221;&#8221; custom_margin_last_edited=&#8221;on|desktop&#8221; custom_padding=&#8221;||0px|&#8221; custom_padding_tablet=&#8221;&#8221; custom_padding_phone=&#8221;&#8221; custom_padding_last_edited=&#8221;on|phone&#8221; border_style=&#8221;solid&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p><a href=\"https:\/\/www.pupdoc.ca\/abdominal-pain-abdominal-mass\/\"><strong>Abdominal Pain &amp; Abdominal Mass<\/strong><\/a><\/p>\n<p><a href=\"https:\/\/www.pupdoc.ca\/acutely-ill-child\/\">Acutely Ill Child<\/a><\/p>\n<p><a href=\"https:\/\/www.pupdoc.ca\/adolescent-health-issues\/\">Adolescent Health Issues<\/a><\/p>\n<p><a href=\"https:\/\/www.pupdoc.ca\/altered-loc\/\">Altered Level of Consciousness<\/a><\/p>\n<p><a href=\"https:\/\/www.pupdoc.ca\/bruising-bleeding\/\">Bruising \/ Bleeding<\/a><\/p>\n<p><a href=\"https:\/\/www.pupdoc.ca\/dehydration\/\">Dehydration<\/a><\/p>\n<p><a href=\"https:\/\/www.pupdoc.ca\/development-behavioural-learning-problems\/\">Development \/ Behavioural \/ Learning Problems<\/a><\/p>\n<p><a href=\"https:\/\/www.pupdoc.ca\/diarrhea\/\">Diarrhea<\/a><\/p>\n<p><a href=\"https:\/\/www.pupdoc.ca\/edema\/\">Edema<\/a><\/p>\n<p><a href=\"https:\/\/www.pupdoc.ca\/eye-issues\/\">Eye Issues<\/a><\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243; _builder_version=&#8221;4.16&#8243; background_position=&#8221;top_left&#8221; custom_padding=&#8221;||0px|&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text module_class=&#8221;menu-clinical-line-height&#8221; _builder_version=&#8221;4.16&#8243; text_line_height=&#8221;1.4em&#8221; custom_margin=&#8221;||0px|&#8221; custom_padding=&#8221;||0px|&#8221; custom_css_main_element=&#8221;margin-bottom: 0px !important;&#8221; border_style=&#8221;solid&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p><a href=\"https:\/\/www.pupdoc.ca\/fever\/\">Fever<\/a><\/p>\n<p><a href=\"https:\/\/www.pupdoc.ca\/genitourinary-complaints\/\">Genitourinary Complaints<\/a><\/p>\n<p><a href=\"https:\/\/www.pupdoc.ca\/growth-problems\/\">Growth Problems<\/a><\/p>\n<p><a href=\"https:\/\/www.pupdoc.ca\/headache\/\">Headache<\/a><\/p>\n<p><a href=\"https:\/\/www.pupdoc.ca\/inadequately-explained-injury\/\">Inadequately explained injury<\/a><\/p>\n<p><a href=\"https:\/\/www.pupdoc.ca\/limp-extremity-pain\/\">Limp \/ Extremity Pain<\/a><\/p>\n<p><a href=\"https:\/\/www.pupdoc.ca\/lymphadenopathy\/\">Lymphadenopathy<\/a><\/p>\n<p><a href=\"https:\/\/www.pupdoc.ca\/mental-health-concerns\/\">Mental Health Concerns<\/a><\/p>\n<p><a href=\"https:\/\/www.pupdoc.ca\/murmur\/\">Murmur<\/a><\/p>\n<p><a href=\"https:\/\/www.pupdoc.ca\/neonatal-jaundice\/\">Neonatal Jaundice<\/a><\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243; _builder_version=&#8221;4.16&#8243; background_position=&#8221;top_left&#8221; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text module_class=&#8221;menu-clinical-line-height&#8221; _builder_version=&#8221;4.16&#8243; text_line_height=&#8221;1.4em&#8221; border_style=&#8221;solid&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p><a href=\"https:\/\/www.pupdoc.ca\/newborn\/\">Newborn<\/a><\/p>\n<p><a href=\"https:\/\/www.pupdoc.ca\/pallor-anemia\/\">Pallor \/ Anemia<\/a><\/p>\n<p><a href=\"https:\/\/www.pupdoc.ca\/rash\/\">Rash<\/a><\/p>\n<p><a href=\"https:\/\/www.pupdoc.ca\/respiratory-distress-cough\/\">Respiratory distress \/ Cough<\/a><\/p>\n<p><a href=\"https:\/\/www.pupdoc.ca\/seizure-paroxysmal-event\/\">Seizure \/ Paroxysmal event<\/a><\/p>\n<p><a href=\"https:\/\/www.pupdoc.ca\/sore-ear\/\">Sore Ear<\/a><\/p>\n<p><a href=\"https:\/\/www.pupdoc.ca\/sore-throat-sore-mouth\/\">Sore Throat \/ Sore Mouth<\/a><\/p>\n<p><a href=\"https:\/\/www.pupdoc.ca\/vomiting\/\">Vomiting<\/a><\/p>\n<p><a href=\"https:\/\/www.pupdoc.ca\/well-child-care\/\">Well Child Care<\/a><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Appendicitis Constipation Functional abdominal pain Neuroblastoma Ovarian torsion Pregnancy Wilm\u2019s 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 [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"open","ping_status":"open","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"class_list":["post-160","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.pupdoc.ca\/en\/wp-json\/wp\/v2\/pages\/160","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.pupdoc.ca\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.pupdoc.ca\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.pupdoc.ca\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.pupdoc.ca\/en\/wp-json\/wp\/v2\/comments?post=160"}],"version-history":[{"count":12,"href":"https:\/\/www.pupdoc.ca\/en\/wp-json\/wp\/v2\/pages\/160\/revisions"}],"predecessor-version":[{"id":3063,"href":"https:\/\/www.pupdoc.ca\/en\/wp-json\/wp\/v2\/pages\/160\/revisions\/3063"}],"wp:attachment":[{"href":"https:\/\/www.pupdoc.ca\/en\/wp-json\/wp\/v2\/media?parent=160"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}