7 results
Chronic Abdominal Pain Causes - Differential Diagnosis Framework

Many patients with chronic abdominal pain have had prior
Diagnosis Framework ... have had prior evaluations ... did not yield a diagnosis ... bowel syndrome • Celiac ... hernia • Rib fracture
Serious Bacterial Illness (SBI):
1) UTI and pyelonephritis
Most common cause of SBI
Accounts for 3-8% of uncharacterized fevers
Female
pyelonephritis Most common cause ... Consider BCx, CSF evaluation ... unformed) PNA diagnosed ... #Peds #EM #Classification ... SeriousBacterialIllness #Ddxof
RADIAL HEAD FRACTURE 
Radial head fractures are the most common elbow fracture in adults and are
radiocapitellar lines), fat pads ... ED Management: Pain ... MH/CCF/CWRU EM ... #Elbow #Radiology ... #XRay #Diagnosis
Supracondylar Elbow Fracture
• Most common elbow fracture in children, peak age 5-7 
• When looking at
radiocapitellar lines), fat pads ... ED Management: Pain ... MH/CCF/CWRU EM ... Elbow #Humerus #Radiology ... #XRay #Diagnosis
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
Absence of a fracture ... Finger deformity caused ... ED Management: Pain ... MH/CCF/CWRU EM ... #XRay #Diagnosis
Interphalangeal Joint Dislocation
Interphalangeal joint dislocations almost always occur dorsally, look for associated avulsion fractures! Here's a
fingertip) • Exam: Pain ... dislocation, due to EDS ... MH/CCF/CWRU EM ... Dislocation #IPJoint #Radiology ... #XRay #Diagnosis
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
(@MarkRamzyDO, EM ... Hamilton, MD (EM ... breath and chest pain ... located chest pain ... #Radiology #CTChest