Index of suspicion. Case 1: abdominal pain, distension, hard stool, and diarrhea in an 11-year-old boy. Case 2: recurrent otitis media in a 4-year-old boy. Case 3: gynecomastia and galactorrhea in a 15-year-old boy.

Sona Young; Monica Joseph-Griffin; Noel Mensah-Bonsu; Joseph R Hageman; David Schwartz; Cecilia Mikita; Paola Luca; Stacey Urbach

首页> 外文期刊>Pediatrics in review >Index of suspicion. Case 1: abdominal pain, distension, hard stool, and diarrhea in an 11-year-old boy. Case 2: recurrent otitis media in a 4-year-old boy. Case 3: gynecomastia and galactorrhea in a 15-year-old boy.

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Index of suspicion. Case 1: abdominal pain, distension, hard stool, and diarrhea in an 11-year-old boy. Case 2: recurrent otitis media in a 4-year-old boy. Case 3: gynecomastia and galactorrhea in a 15-year-old boy.

机译：怀疑指数。案例1：一个11岁男孩的腹痛，腹胀，大便僵硬和腹泻。病例2：一名4岁男孩中耳炎复发。案例3：一名15岁男孩的女性乳房发育和溢乳。

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An 11-year-old boy presents to the emergency department with a 1-week history of frequent episodes of non-bloody, nonbilious emesis associated with diarrhea and abdominal cramping. He has urgency and fecal incontinence. He has been afebrile and denies any rashes, joint pain, sick contacts, headaches, or other symptoms. On further questioning, his mother reveals that he has had 2 similar episodes of abdominal distension and diarrhea during the past 6 to 7 years. Between these episodes, she states that he normally has non-bloody, hard stools accompanied by straining and chronic abdominal pain and pain with defecation.

机译：一个11岁的男孩向急诊科就诊，有1周的频繁发作的非血腥，非胆汁性呕吐，腹泻和腹部绞痛的病史。他有尿急和大便失禁。他一直发热，并否认有任何皮疹，关节痛，接触不良，头痛或其他症状。在进一步询问后，他的母亲发现他在过去6至7年中有2次类似的腹胀和腹泻发作。在这些发作之间，她指出，他通常无血便，硬便，伴有劳损，慢性腹痛和排便疼痛。

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《Pediatrics in review》 |2013年第7期|共6页
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Sona Young; Monica Joseph-Griffin; Noel Mensah-Bonsu; Joseph R Hageman; David Schwartz; Cecilia Mikita; Paola Luca; Stacey Urbach;
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1. Index of suspicion. Case 1: abdominal pain, distension, hard stool, and diarrhea in an 11-year-old boy. Case 2: recurrent otitis media in a 4-year-old boy. Case 3: gynecomastia and galactorrhea in a 15-year-old boy. [J] . Sona Young, Monica Joseph-Griffin, Noel Mensah-Bonsu, Pediatrics in review . 2013,第7期

机译：怀疑指数。案例1：一个11岁男孩的腹痛，腹胀，大便僵硬和腹泻。病例2：一名4岁男孩中耳炎复发。案例3：一名15岁男孩的女性乳房发育和溢乳。
2. Index of suspicion * Case 1: Abdominal pain, fever, and cough in a 3-year-old boy. * Case 2: Emesis, irritability in 9-year-old boy who has autism. * Case 3: Skin lesions and pulmonary nodules in a 17-year-old boy. [J] . Mike Nesbitt, Alberto Carranza, Amanda J Kasem, Pediatrics in review . 2012,第4期

机译：怀疑指数*病例1：3岁男孩的腹部疼痛，发烧和咳嗽。 *案例2：患有孤独症的9岁男孩的呕吐，烦躁不安。 *案例3：一个17岁男孩的皮肤病变和肺结节。
3. Index of suspicion. Case 1: Palpitations and dizziness in a teenage boy. Case 2: Arthritis in a 4-year-old girl. Case 3: Seizures, hallucinations, hyponatremia, and red urine in a teenage boy in India. [J] . Vaneet Kumar Kalra, Fuad M Kiblawi, Dorothy Myridakis, Pediatrics in review . 2012,第10期

机译：怀疑指数。案例1：一个十几岁男孩的心pit和头晕。情况2：一名4岁女孩患有关节炎。案例3：印度一个十几岁男孩的癫痫发作，幻觉，低钠血症和尿红。
4. Acute abdominal pain and vomiting in a seven-year-old boy. [O] . C. A. Leftridge 1978

机译：一名7岁男孩的急性腹痛和呕吐。

Index of suspicion. Case 1: abdominal pain, distension, hard stool, and diarrhea in an 11-year-old boy. Case 2: recurrent otitis media in a 4-year-old boy. Case 3: gynecomastia and galactorrhea in a 15-year-old boy.

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