Pediatrics 27 CLIPP Case UPDATED
ACTUAL QUESTIONS AND CORRECT
ANSWERS
Define functional abdominal pain - Correct answers✔✔Functional Abdominal pain is defined as
pain that is "without demonstrable evidence of a pathologic condition such as an anatomic,
metabolic, infectious, inflammatory, or neoplastic disorder."
Pathophysiology of functional abdominal pain - Correct
answers✔✔miscommunication/dysregulation between gut and CNS
Diagnosis of functional abdominal pain - Correct answers✔✔no alarming symptoms or signs,
physical examination is normal, and
stool sample tests are negative for occult blood.
May also have somatic symptoms headache, difficulty sleeping, or limb pain.
Treatment of functional abdominal pain - Correct answers✔✔reassure parents
What are some concerning signs and symptoms of abdominal pain - Correct
answers✔✔Involuntary weight loss Deceleration of linear growth Gastrointestinal blood loss
Significant vomiting
Chronic severe diarrhea
Persistent right upper or right lower quadrant pain Unexplained fever
Family history of inflammatory bowel disease Abnormal or unexplained physical findings
, What is often the first sign of a chronic illness - Correct answers✔✔A slowing of weight gain
(and especially weight loss)
When might you see a drop in height velocity - Correct answers✔✔A drop in the height velocity
is much less common and suggests a more long-standing illness.
When would you want to do a rectal exam - Correct answers✔✔Gastrointestinal bleeding,
Intussusception,
Rectal abscess,
or Impaction
What are some red flags for possible crohns disease - Correct answers✔✔Pain that awakens the
child at night
Pain that can be localized
Involuntary weight loss or growth deceleration
Extraintestinal symptoms (e.g., fever, rash, joint pain, aphthous ulcers, or dysuria)
Sleepiness after attacks of pain
Positive family history of inflammatory bowel disease (although only positive in about 30% of
patients)
Abnormal labs such as guaiac-positive stool, anemia, high platelet count, high ESR,
hypoalbuminemia Abnormalities in bowel function (e.g., diarrhea, constipation, incontinence)
Vomiting
dysuria
Initial therapy for patients with crohns disease - Correct answers✔✔initially trialed on
corticosteroids to induce remission. Other induction therapies include enteral nutrition therapy.
ACTUAL QUESTIONS AND CORRECT
ANSWERS
Define functional abdominal pain - Correct answers✔✔Functional Abdominal pain is defined as
pain that is "without demonstrable evidence of a pathologic condition such as an anatomic,
metabolic, infectious, inflammatory, or neoplastic disorder."
Pathophysiology of functional abdominal pain - Correct
answers✔✔miscommunication/dysregulation between gut and CNS
Diagnosis of functional abdominal pain - Correct answers✔✔no alarming symptoms or signs,
physical examination is normal, and
stool sample tests are negative for occult blood.
May also have somatic symptoms headache, difficulty sleeping, or limb pain.
Treatment of functional abdominal pain - Correct answers✔✔reassure parents
What are some concerning signs and symptoms of abdominal pain - Correct
answers✔✔Involuntary weight loss Deceleration of linear growth Gastrointestinal blood loss
Significant vomiting
Chronic severe diarrhea
Persistent right upper or right lower quadrant pain Unexplained fever
Family history of inflammatory bowel disease Abnormal or unexplained physical findings
, What is often the first sign of a chronic illness - Correct answers✔✔A slowing of weight gain
(and especially weight loss)
When might you see a drop in height velocity - Correct answers✔✔A drop in the height velocity
is much less common and suggests a more long-standing illness.
When would you want to do a rectal exam - Correct answers✔✔Gastrointestinal bleeding,
Intussusception,
Rectal abscess,
or Impaction
What are some red flags for possible crohns disease - Correct answers✔✔Pain that awakens the
child at night
Pain that can be localized
Involuntary weight loss or growth deceleration
Extraintestinal symptoms (e.g., fever, rash, joint pain, aphthous ulcers, or dysuria)
Sleepiness after attacks of pain
Positive family history of inflammatory bowel disease (although only positive in about 30% of
patients)
Abnormal labs such as guaiac-positive stool, anemia, high platelet count, high ESR,
hypoalbuminemia Abnormalities in bowel function (e.g., diarrhea, constipation, incontinence)
Vomiting
dysuria
Initial therapy for patients with crohns disease - Correct answers✔✔initially trialed on
corticosteroids to induce remission. Other induction therapies include enteral nutrition therapy.
