{"id":4832,"date":"2023-11-01T19:48:27","date_gmt":"2023-11-01T19:48:27","guid":{"rendered":"https:\/\/paeder.com\/23-10-abdominal-pain"},"modified":"2024-09-29T14:30:03","modified_gmt":"2024-09-29T14:30:03","slug":"23-10-abdominal-pain","status":"publish","type":"post","link":"https:\/\/paeder.com\/en\/23-10-abdominal-pain","title":{"rendered":"23-10 Abdominal pain"},"content":{"rendered":"<div class='flex_column av-s19h9q-e2c917d25fc4c57af638a4a39228df00 av_one_fifth  avia-builder-el-0  el_before_av_three_fifth  avia-builder-el-first  first flex_column_div '     ><\/div>\n<div class='flex_column av-q6v7vy-af24e17ff1924aab4c6b274978af5b3a av_three_fifth  avia-builder-el-1  el_after_av_one_fifth  el_before_av_one_fifth  flex_column_div '     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-nurqou-c120284e0252eedde2ef51c10cdef71c\">\n.avia-image-container.av-nurqou-c120284e0252eedde2ef51c10cdef71c img.avia_image{\nbox-shadow:none;\n}\n.avia-image-container.av-nurqou-c120284e0252eedde2ef51c10cdef71c .av-image-caption-overlay-center{\ncolor:#ffffff;\n}\n<\/style>\n<div  class='avia-image-container av-nurqou-c120284e0252eedde2ef51c10cdef71c av-styling- avia-align-center  avia-builder-el-2  el_before_av_hr  avia-builder-el-first '   itemprop=\"image\" itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/ImageObject\" ><div class=\"avia-image-container-inner\"><div class=\"avia-image-overlay-wrap\"><img decoding=\"async\" class='wp-image-4817 avia-img-lazy-loading-not-4817 avia_image ' src=\"https:\/\/paeder.com\/wp-content\/uploads\/2023\/11\/Header-Bauchschmerzen-1920-x-761.jpg\" alt='' title='Header Bauchschmerzen 1920 x 761'  height=\"761\" width=\"1920\"  itemprop=\"thumbnailUrl\" srcset=\"https:\/\/paeder.com\/wp-content\/uploads\/2023\/11\/Header-Bauchschmerzen-1920-x-761.jpg 1920w, https:\/\/paeder.com\/wp-content\/uploads\/2023\/11\/Header-Bauchschmerzen-1920-x-761-300x119.jpg 300w, https:\/\/paeder.com\/wp-content\/uploads\/2023\/11\/Header-Bauchschmerzen-1920-x-761-1030x408.jpg 1030w, https:\/\/paeder.com\/wp-content\/uploads\/2023\/11\/Header-Bauchschmerzen-1920-x-761-768x304.jpg 768w, https:\/\/paeder.com\/wp-content\/uploads\/2023\/11\/Header-Bauchschmerzen-1920-x-761-1536x609.jpg 1536w, https:\/\/paeder.com\/wp-content\/uploads\/2023\/11\/Header-Bauchschmerzen-1920-x-761-1500x595.jpg 1500w, https:\/\/paeder.com\/wp-content\/uploads\/2023\/11\/Header-Bauchschmerzen-1920-x-761-705x279.jpg 705w, https:\/\/paeder.com\/wp-content\/uploads\/2023\/11\/Header-Bauchschmerzen-1920-x-761-450x178.jpg 450w, https:\/\/paeder.com\/wp-content\/uploads\/2023\/11\/Header-Bauchschmerzen-1920-x-761-600x238.jpg 600w\" sizes=\"(max-width: 1920px) 100vw, 1920px\" \/><\/div><\/div><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mro7e6-426f50224f28f8eff98ea3af7478e02f\">\n#top .hr.hr-invisible.av-mro7e6-426f50224f28f8eff98ea3af7478e02f{\nheight:20px;\n}\n<\/style>\n<div  class='hr av-mro7e6-426f50224f28f8eff98ea3af7478e02f hr-invisible  avia-builder-el-3  el_after_av_image  el_before_av_textblock '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n<section  class='av_textblock_section av-24mla6-a4ad1a46270e4069304676a8ba1f01ee'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p style=\"text-align: right;\">October 30, 2023<\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-iglfge-a39eb6ec957100d9a53f670a2b3e587e\">\n#top .av-special-heading.av-iglfge-a39eb6ec957100d9a53f670a2b3e587e{\npadding-bottom:10px;\ncolor:#fc0001;\n}\nbody .av-special-heading.av-iglfge-a39eb6ec957100d9a53f670a2b3e587e .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-iglfge-a39eb6ec957100d9a53f670a2b3e587e .special-heading-inner-border{\nborder-color:#fc0001;\n}\n.av-special-heading.av-iglfge-a39eb6ec957100d9a53f670a2b3e587e .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-iglfge-a39eb6ec957100d9a53f670a2b3e587e av-special-heading-h2 custom-color-heading  avia-builder-el-5  el_after_av_textblock  el_before_av_hr '><h2 class='av-special-heading-tag'  itemprop=\"headline\"  >In children with abdominal pain also pay attention to the lungs!<\/h2><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-grl53i-0e81c4a59b57c8c6ddf6067f9dd0111b\">\n#top .hr.hr-invisible.av-grl53i-0e81c4a59b57c8c6ddf6067f9dd0111b{\nheight:20px;\n}\n<\/style>\n<div  class='hr av-grl53i-0e81c4a59b57c8c6ddf6067f9dd0111b hr-invisible  avia-builder-el-6  el_after_av_heading  el_before_av_textblock '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n<section  class='av_textblock_section av-g5p16m-7e330e6711efa8f04b61da9a8821d4d5'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p><strong>Of course, in children who present or report abdominal pain, the abdomen must be thoroughly examined and included in the differential diagnoses. In the clinic, sonography of the abdomen is also always required to rule out severe pathology (e.g., even volvulus is often clinically deceptive). But the true diagnosis is often also outside the abdomen!<\/strong><\/p>\n<p class=\"EndNoteBibliography\"><span style=\"color: #333333;\"><strong> <\/strong><\/span><\/p>\n<p>  In young children, swelling of the abdominal lymph nodes regularly occurs at any possible focus in connection with infections. The resulting abdominal pain leads to a suspected abdominal diagnosis, which sometimes even results in operations that are not indicated (usually appendectomies).  <\/p>\n<h3 class=\"EndNoteBibliography\"><span style=\"color: #333333;\"><strong>Additional focus search  <\/strong><\/span><\/h3>\n<p>  In children with abdominal pain, an additional focal search outside the abdomen, such as listening to the lungs and inspecting the tympanic membrane, is always essential. However, the &#8220;co-swollen&#8221; abdominal lymph nodes can also cause an actual abdominal emergency, intestinal intussusception, usually at the ileocecal junction. In this case, parts of the intestine turn into each other and typically trigger abrupt onset of severe cramp-like pain. In addition, bloody diarrhea may occur. Spontaneous desvagination is also possible, but must not be waited for under any circumstances, because necrosis of the affected bowel segments may occur if left untreated. The diagnosis is made very quickly and reliably by sonography and can be treated in any pediatric clinic with a radiologically performed desvagination by insufflating the intestine with air or fluids.  <\/p>\n<h3 class=\"EndNoteBibliography\"><strong>In an emergency: safety in seconds  <\/strong><\/h3>\n<p>  In the event of a child emergency, seconds are often crucial. Then the pediatric emergency ruler P\u00e4dNFL and the pediatric anesthesia ruler P\u00e4dOP can become a life-saving aid. The rulers provide instant length-based weight estimation of the child. According to the standard weight determined in this way, the correct dosages of all emergency medications can be read directly from the rulers. &#8211; completely without accompanying booklet and without own calculation steps! With PedNFL you can &#8211; significantly reduce life-threatening medication errors in pediatric emergencies &#8211; avoid 9 out of 10 incorrect doses* The principle of PedNFL is therefore expressly recommended in the guideline &#8220;Medication safety in pediatric emergencies&#8221; and the ERC guidelines.<\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-1crage-a68d9c75f397260e9ddb6a6a98761883\">\n#top .hr.hr-invisible.av-1crage-a68d9c75f397260e9ddb6a6a98761883{\nheight:40px;\n}\n<\/style>\n<div  class='hr av-1crage-a68d9c75f397260e9ddb6a6a98761883 hr-invisible  avia-builder-el-8  el_after_av_textblock  el_before_av_button '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n<div  class='avia-button-wrap av-d19yqm-761ae7f35888f99870f51b099dbba5b4-wrap avia-button-center  avia-builder-el-9  el_after_av_hr  el_before_av_hr ' >\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-d19yqm-761ae7f35888f99870f51b099dbba5b4\">\n#top #wrap_all .avia-button.av-d19yqm-761ae7f35888f99870f51b099dbba5b4{\nfont-size:20px;\nbackground-color:#83a846;\nborder-color:#83a846;\ncolor:#ffffff;\n-webkit-transition:all 0.4s ease-in-out;\n-moz-transition:all 0.4s ease-in-out;\n-ms-transition:all 0.4s ease-in-out;\n-o-transition:all 0.4s ease-in-out;\ntransition:all 0.4s ease-in-out;\n}\n<\/style>\n<a href='https:\/\/paeder.com\/shop'  class='avia-button av-d19yqm-761ae7f35888f99870f51b099dbba5b4 avia-icon_select-yes-left-icon avia-size-large avia-position-center' ><span class='avia_button_icon avia_button_icon_left' aria-hidden='true' data-av_icon='\ue859' data-av_iconfont='entypo-fontello'><\/span><span class='avia_iconbox_title' >Order the P\u00e4dNFL\/P\u00e4dOP here<\/span><\/a><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-bk88qm-add14aa5bc99ad27be1276461087b4f0\">\n#top .hr.hr-invisible.av-bk88qm-add14aa5bc99ad27be1276461087b4f0{\nheight:20px;\n}\n<\/style>\n<div  class='hr av-bk88qm-add14aa5bc99ad27be1276461087b4f0 hr-invisible  avia-builder-el-10  el_after_av_button  el_before_av_textblock '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n<section  class='av_textblock_section av-8vgnse-f6a01d6dc18afc6081b3e9a964fa8783'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p class=\"EndNoteBibliography\"><strong>*Literature:<\/strong><\/p>\n<ol>\n<li class=\"EndNoteBibliography\">Kaufmann et al. Development and Prospective Federal State-Wide Evaluation of a Device for Height-Based Dose Recommendations in Prehospital Pediatric Emergencies: A Simple Tool to Prevent Most Severe Drug Errors. Prehosp Emerg Care 2018; 22: 252-259.<\/li>\n<li class=\"EndNoteBibliography\">Kaufmann et al. Improving Pediatric Drug Safety in Prehospital Emergency Care-10 Years on. J Patient Saf 2021; 17: e1241-e1246.<\/li>\n<\/ol>\n<\/div><\/section><br \/>\n<div  class='av-social-sharing-box av-7a3jni-80d1691d40cc72e5ee9056c1ad02068f av-social-sharing-box-default  avia-builder-el-12  el_after_av_textblock  el_before_av_hr  av-social-sharing-box-fullwidth'><div class=\"av-share-box\"><h5 class='av-share-link-description av-no-toc '>Share post<\/h5><ul class=\"av-share-box-list noLightbox\"><li class='av-share-link av-social-link-facebook' ><a target=\"_blank\" aria-label=\"Share on Facebook\" href='https:\/\/www.facebook.com\/sharer.php?u=https:\/\/paeder.com\/en\/23-10-abdominal-pain&#038;t=23-10%20Abdominal%20pain' aria-hidden='false' data-av_icon='\ue8f3' data-av_iconfont='entypo-fontello' title='' data-avia-related-tooltip='Share on Facebook' rel=\"noopener\"><span class='avia_hidden_link_text'>Share on Facebook<\/span><\/a><\/li><li class='av-share-link av-social-link-twitter' ><a target=\"_blank\" aria-label=\"Share on Twitter\" 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