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Pediatric Gastrointestinal Disorders

Hard to Digest: A Gastrointestinal Photo Quiz

There are many types of digestive disorders, and the symptoms vary widely. Some chronic GI disorders, such as Crohn disease, are highly prevalent in children and adolescents. This GI photo quiz offers a variety of presentations to test your diagnostic acumen.

Pediatric Gastrointestinal Disorders

Antibiotic side effect? Diffuse abdominal pain, vomiting, and anorexia led to this initial misdiagnosis in an adolescent male. The full story, here.

A 14-year-old boy presented with abdominal pain and vomiting of 3 day’s duration. He appeared well nourished but was severely dehydrated. The abdomen was distended, rigid, and diffusely tender, with normal bowel sounds and no organomegaly.

My 18-month-old son has had a diaper rash, with no other symptoms, within a few days of eating a poached egg on 3 separate occasions.

Selective IgA deficiency (SIGAD) is the most common immunodeficiency disorder; it affects about 1 in 200 to 900 persons. Most affected children are asymptomatic.

A healthy 4-year-old girl passed a threadlike object in her stool at a day-care center. She had no diarrhea, vomiting, or abdominal pain. Stool had no blood or melena. Child’s appetite normal.

I thoroughly enjoyed the articles "Anti-Vaccine Media: Its Impact-and Strategies to Combat It" by Linda Nield, MD, and "Vaccinations: Immunizations Do Not Cause Autism Spectrum Disorder . . . They Prevent Disease" by Golder Wilson, MD, PhD, and Miranda Ramirez, MD (both of which appeared in the Special Issue on Vaccines that accompanied the September 2008 issue of CONSULTANT FOR PEDIATRICIANS).

An otherwise healthy 9-month-old girl was brought to the emergency department (ED) by her parents who reported a 12-hour history of nonbloody, nonbilious emesis. The patient had a mildly increased temperature and appeared to be dehydrated.


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