A school-age child has had abdominal pain for 3 months that occurs once or twice weekly and is associated with a headache and occasional difficulty sleeping, often causing the child to stay home from school. The child does not have vomiting or diarrhea and is gaining weight normally. The physical exam is normal. According to Bishop, what is included in the initial diagnostic work-up for this child?

Question

Quizplus · Accepted Answer

CFor a child presenting with chronic abdominal pain, a thorough initial diagnostic work-up is essential to rule out common causes and identify any underlying conditions. Choice A and C are correct because they include a range of tests that assess for inflammation, infection, and organ function, which are crucial in the initial evaluation of chronic abdominal pain in children. CBC (Complete Blood Count) and ESR (Erythrocyte Sedimentation Rate) can help identify inflammation or anemia. Amylase and lipase in choice A are important for evaluating pancreatic function. A UA (Urinalysis) can rule out urinary tract infections, which sometimes present with abdominal pain. Stool tests for ova, parasites, and culture in choice C are essential for identifying infections that could cause abdominal symptoms. These comprehensive approaches help in ruling out common and easily identifiable causes of abdominal pain.

A School-Age Child Has Had Abdominal Pain for 3 Months