Concluded Case

Non - Specific pain abdomen in a child

10 yeats old male child with history of diffuse abdominal pain predominant in epigastric region with intermittent vomitings O / Examination- Diffuse tenderness in right hypochondrium and epigastric region. No rigidity or muscle guard . Ry iliac fossa only mildly tender . USG- shows mild hepatomegaly with fatty liver . No other abnormality . Diagnosis and treatment

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It was a case of non - Specific pain abdomen which is commonly seen in children. Patient responded to oral amtibiotis and PPI
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Diffuse tenderness in the epigastric region n right hychondrium. Main differential diagnosis hepatitis n pancreatitis. Even gastritis should b considered. Go for liver function test serum amylase serum lipase viral hepatitis markers. Fatty liver in paediatric is very rare. If still can't come to a conclusive diagnosis then liver biopsy will b the last resort.
Pain abdomen with predominant in epigastric with intermittent vomiting Mild tenderness hypochondrium and epigastrium and mild tenderness in RIF. USG finding hepatomegaly with fatty liver may be due to Hepatitis viral or amaebic Sub acute appendicitis Blood for RE Liver function test To treat symptomatic then as per report.
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Tenderness in right hypochondriac region with mild hepatomegaly may represent viral hepatitis Adv Liver function test and if required viral markers
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POSSIBLY HEPATITIS ...... MAYBE AMOEBIC OR VIRAL DD AC. APPENDICITIS NEEDS. FURTHER. EVALUATION
Present complaints with tenderness in rt iliac fossa is likely subacute appendicitis Rest of findings are coincidental
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NAFLD? SIR , MAYB he's overweight . Thyroid status? Life ,dietery modification
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Tenderness in Rt hypochondriac region with vomit, suggest liver pathology, Liver enzymes needed Appendicitis may be present
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It was a case of non - Specific pain abdomen which is commonly seen in children. Patient responded to oral amtibiotis and PPI
Fatty liver do hida scan history in favor of hiatus hernai or peptic ulcer do gastroscopy
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