Round 19 (MW) – Pediatric Abdominal Pain
- Author
- Zack Olson, MD and Michael Estephan, MD
- Published
- Tue 02 Apr 2024
- Episode Link
- https://www.emclerkship.com/2024/04/02/round-19-mw-tummy-ache-in-child-with-diabetes/
You are working at Clerkship General when the next patient is put into your rack. It is an 8 year-old male with vomiting
Initial Vitals:
HR: 119
BP: 104/63
Temp: 98.0F
RR: 20
O2: 99% (Room Air)
Critical Actions:
* Finger Stick Blood Glucose
* Treat Patient’s Pain
* Diagnose Testicular Torsion
* Immediate Urology Consult
* Perform Manual Detorsion
References:
Mellick LB, Sinex JE, Gibson RW, Mears K. A Systematic Review of Testicle Survival Time After a Torsion Event. Pediatr Emerg Care. 2019 Dec;35(12):821-825. doi: 10.1097/PEC.0000000000001287. PMID: 28953100.
