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Assessment of Abdominal Pain in School-Age ChildrenPolly Gerber Zimmermann, RN, MS, MBA, CEN, is an instructor in the Department of Nursing at Harry S. Truman College, Chicago, IL. She is a former associate nurse for American Airlines at OHare International Airport and a former emergency department staff nurse at Swedish Covenant Hospital in Chicago, IL Pediatric abdominal pain can be a difficult condition to accurately assess for the nurse to determine whether the childs need is for teaching, treating, or transferring. This article describes the process as well as practical tips to be used by the nurse in the school setting. Distinguishing characteristics and findings, including key physical assessments, of some of the most frequent or most important conditions are described. Atypical, but not to be overlooked, causes are also discussed.
Key Words: abdominal physical assessment appendicitis gastroenteritis intestinal obstruction pediatric abdominal pain peritonitis
The Journal of School Nursing, Vol. 19, No. 1,
4-10 (2003) |
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