Pediatric Acute Abdominal Pain - Differential Diagnosis Algorithm
Generalized/Migratory:
• Intussusception
• Gastroenteritis
• Viral Illness
• Diabetic Ketoacidosis
• Bowel Obstruction
• Henoch-Schonlein Purpura
• Malrotation/Volvulus
• Urinary Tract Infection
• Peritonitis
• Somatization
• Sickle Cell Crisis
• Ileus
• Infantile Colic
Epigastric:
• Gastritis
• Peptic Ulcer Disease
• Pancreatitis
• Gastroesophageal Reflux Disease
Right Upper Quadrant:
• Hepatitis
• Cholelithiasis
• Cholecystitis
• Pyelonephritis
• Right Lower Lobe Pneumonia
Left Upper Quadrant:
• Viral Illness with Splenic Enlargement/Rupture
• Pyelonephritis
• Left Lower Lobe Pneumonia
Right Lower Quadrant:
• Appendicitis
• Ovarian Cyst
• Ovarian Torsion
• Ectopic Pregnancy
• Pelvic Inflammatory Disease
• Nephrolithiasis
• Dysmenorrhea
Left Lower Quadrant:
• Ovarian Cyst
• Ovarian Torsion
• Ectopic Pregnancy
• Pelvic Inflammatory Disease
• Nephrolithiasis
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