Abdominal Pain

Cannot miss / life threats
Cannot miss / life threats
Differential diagnosis — checklist
0/21
ABD Pain DDx by Age → Pediatric Abdominal Pain

Check off each diagnosis as you consider it. Tap the name for unique exam, lab/imaging clues, first-line confirmatory test, and management.

RUQ0/4
Epigastric0/4
RLQ0/5
LLQ0/3
Diffuse0/5
Initial ED workup
Bedside0/3
  • Pregnancy test (all repro-age females)
  • ECG if epigastric / > 50 yo
  • Bedside US (FAST, gallbladder, AAA)
Labs0/5
  • CBC, BMP, LFTs, lipase
  • Lactate
  • UA
  • Type & screen if surgical / GI bleed
  • Troponin if epigastric
Imaging0/3
  • CT abd/pelvis (with IV contrast) (most adults)
  • RUQ US for biliary
  • Pelvic US for OB/GYN
Initial management0/4
  • NPO, IV access, fluids
  • Analgesia (does not mask surgical exam)
  • Antiemetics
  • Early surgical / OB consult for instability or peritonitis