How is abdominal pain of unknown etiology differentiated from pediatric appendicitis?

Updated: Oct 25, 2018
  • Author: Adam C Alder, MD; Chief Editor: Carmen Cuffari, MD  more...
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Answer

Diagnose abdominal pain of unknown etiology in patients with nonspecific abdominal symptoms if a diagnosis cannot be established. These patients may be discharged with close follow up. Instruct patients to be reevaluated in 8-12 hours by their primary care physician or to return to the emergency department. Patients with equivocal examination findings but suspected to have early appendicitis should be admitted for observation for serial abdominal examinations or to undergo imaging with ultrasonography or abdominal CT scanning.


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