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Abdominal Pain
Warning: This section is
for my Tufts University & University of the
Phillipines medical students. If you are
a "worrier" type or a very anxious parent, please
talk to your clinician about your child's problem or
symptoms, rather than reading this differential
diagnosis.
**
Why Have a List of Differential Diagnosis?
It is important for clinicians to frequently refer
to a list of differential diagnosis so they could
ask good questions from the patient or parent. A
good clinical history depends on a complete list of
differential diagnosis of the chief complaint or
main problem.
***
Common Causes of Abdominal Pain
1. Chronic Non specific Abdominal pain
2. Lactose intolerance
3. Psychogneic Pain
4. Allergic-Tension-Fatique syndrome
5. Constipation
6. Irritable colon
7. Dysmenorrhea
8. Mittelschmerz
Less Common
1. Peptic ulcer
2. Parasites
3. Aerophagia
4. IBD
5. Sickle cell a
6. UTI (Urinary Tract Infection)
7. Masses & tumor
8. Hiatus Hernia
9. Drug Therapy
10. Collagen Vascular Disease
Uncommon
1. Abdominal migraine
2. Abdominal epilepsy
3. Familial Mediterranean Fever
4. Hereditary angioneurotic Edema
5. Diskitis
6. Endometriosis
7. Recurrent Pancreatitis
8. Brain tumor
9. Hyperthyroid
10. Addison's disease
11. Porphyria
12. Heavy metal poisoning
13. Duplication of bowel
14. TB of spine
15. Choledochal cyst
16. Superior Mesenteric Artery syndrome
17. Abdominal angina
18. Dysrrhtymias
19. Hyperlipoproteinemia
20. Lineal alba Hernia
21. Hematocolpos
22. Mesenteric cysts
23. Coarctation of Aorta
24. Familial Dysautonomia
25. Cystic Fibrosis
26. Transient Protein-losing enteropathy
27. Spinal cord tum
28. Slipping rib synd
29. Meconium ileus equivalent
Table of Contents
Belly Pain Air Leaks From Lungs Acute Crying Back Pain Bed Wetting Big Lymph Node Big Spleen Blood in Urine Chronic Diarrhea Chest Pain Cough Coughing Up Blood Constipation Droopy Eye Enlarged Glands Eye Swelling Excessive Thrist Facial Paralysis Fainting Spell Feeding Problem GI Bleeding Headache Head Tilt Hives High ESR Hoarseness Joint Pain Limp Leg Pain Muscle Weakness Noisy Breathing Nose Bleeding Nose Obstruction Pyuria Recurrent Infection Red Green Urine Ringing in the Ears Scrotal Swelling Seizures Stiff Neck Swelling of the Parotic Gland Toe Walking Toeing In Toeing Out Unequal Pupils Vomiting Wheezing
Leo Leonidas, MD, FAAP
Assistant Clinical Professor in Pediatrics
Tufts University School of Medicine, Boston
Attending Pediatrician
Eastern Maine Medical Center, Bangor
Copyright Leo Leonidas 2002
Bangor, ME: First City with EBPP (Evidence Based Pediatrics for Parents) Website
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