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Index of Suspicion

2013; American Academy of Pediatrics; Volume: 34; Issue: 8 Linguagem: Inglês

10.1542/pir.34-8-360

1529-7233

Katherine Quinones, L. L. Barr, Judith Shapiro, John M. Luk, G. Rathore, C. Renn, C. Fernandez, S. Reinke, R. G. Romans,

Pediatric health and respiratory diseases

Article| August 01 2013 Index of Suspicion Author DisclosuresDrs Barr, Luk, Quinones Shapiro, Fernandez, Rathore, Renn, Reinke and Romans have disclosed no financial relationships relevant to this article. This commentary does not contain a discussion of an unapproved/investigative use of a commercial product or device. Pediatr Rev (2013) 34 (8): 360–365. https://doi.org/10.1542/pir.34-8-360 Views Icon Views Article contents Figures & tables Video Audio Supplementary Data Peer Review Share Icon Share Twitter LinkedIn Tools Icon Tools Get Permissions Cite Icon Cite Search Site Citation Index of Suspicion. Pediatr Rev August 2013; 34 (8): 360–365. https://doi.org/10.1542/pir.34-8-360 Download citation file: Ris (Zotero) Reference Manager EasyBib Bookends Mendeley Papers EndNote RefWorks BibTex toolbar search toolbar search search input Search input auto suggest filter your search All PublicationsAll JournalsPediatrics In ReviewPediatricsHospital PediatricsNeoReviewsAAP Grand RoundsAAP NewsAll AAP Sites Search Advanced Search Subjects: Adolescent Health/Medicine, Health Alerts, Health Briefs, Pediatrician Wellness, Washington Report Topics: diarrhea, exanthema, fever, groin pain, hemolytic-uremic syndrome, hypersensitivity syndrome, drug-induced, pain, renal failure, acute, carbamazepine, edema A 5-year-old previously healthy boy presents to the emergency department (ED) with a 2-week history of intermittent left groin pain, usually occurring later in the day. Pain is not related to eating, movement, urination, or stooling. There is no report of trauma or precipitating event. He screams and refuses to stand up during pain episodes, which occur suddenly and last approximately 1 to 2 hours at a time. He otherwise has normal gait and activity when pain free. He does not wake up at night in pain. No recent illnesses or fevers are reported. Review of systems and his examination findings are unremarkable. Two days prior, he was evaluated in the ED for the same issue and had normal urinalysis, urine culture, and scrotal ultrasonogram results. The consulting urologist did not suspect a urologic process. He was discharged home with pain medication. Today, he returns to the ED because of... You do not currently have access to this content.