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Acute Crying in Children
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.
CAUSES OF SEVERE CRYING
GENERAL
Drug ingestion or overdose (pseudoephedrine)
Skin (raw skin from diaper rashes)
Painful rashes (scalded skin syndrome)
Spider Bite
EYES
Glaucoma
Corneal Abrasion
EAR, NOSE, THROAT
Otitis Media
Pharyngitis
Mouth Ulcers
Stuffy Nose
CARDIOVASCULAR
Congestive Heart Failure
Supraventricular Tachycardia
Anomalous Origin of Left Coronary Artery
GENITOURINARY
Urinary Tract Obstruction or Infection
Meatal Ulcer
Torsion of Testes or Ovary
GASTROINTESTINAL
Intussusception
Volvulus
Acute Abdomen
Reflux Esophagitis
Herpes Esophagitis
Acute Constipation
Anal fissure
Gastroenteritis
Inguinal Hernia
Ingested Foreign Body
SKELETAL
Fracture
Subperiosteal Hematoma
Osteomyelitis
Arthritis
Scurvy
Sickle Cell Crisis
Hair or Thread around a Digit
NEUROLOGIC
Increased Intracranial Pressure (subdural hematoma, meningitis, vitamin A toxicity)
Reference:
Difficult Diagnosis in Pediatrics
Editor: Stockman, 1990 WB Saunders
Page:184
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Leo Leonidas, MD, FAAP
Assistant Clinical Professor in Pediatrics
Tufts University School of Medicine, Boston
Attending Pediatrician
Eastern Maine Medical Center, Bangor
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