ﺑﺎﺯﮔﺸﺖ ﺑﻪ ﺻﻔﺤﻪ ﻗﺒﻠﯽ
خرید پکیج
تعداد آیتم قابل مشاهده باقیمانده : 3 مورد
نسخه الکترونیک
medimedia.ir

Laboratory evaluation for children with chronic abdominal pain and alarm findings

Laboratory evaluation for children with chronic abdominal pain and alarm findings
Laboratory test Laboratory finding Potential significance
Stool for occult blood (if not already performed) Positive Enteric infection, IBD, juvenile polyps, acid-peptic disease, foreign body, vasculitis (eg, polyarteritis nodosa); proximal small bowel disease (Crohn disease, Helicobacter pylori, peptic disease, celiac disease)
Complete blood count with differential Anemia Celiac disease, IBD
Leukocytosis Infection or inflammation
Eosinophilia Atopic disease, eosinophilic esophagitis; parasitic infection
Thrombocytosis Iron deficiency, ongoing inflammation
ESR/CRP Elevated ESR or CRP Active inflammatory process (nonspecific)
Metabolic panel Elevated ALT Hepatic inflammation (eg, chronic hepatitis)
Elevated direct bilirubin Cholestasis
Elevated GGT Common bile duct stone
Decreased albumin Defective liver protein synthesis, intestinal protein loss (Crohn disease)
Lipase Elevated Acute pancreatitis
Immunoglobulin A tissue transglutaminase antibodies (if not already performed) Positive Celiac disease
Urinalysis Hematuria Nephrolithiasis
This table is intended for use with UpToDate content on chronic abdominal pain in children. Additional laboratory evaluation may be warranted if specific organic conditions are suspected. Refer to UpToDate content for details.
IBD: inflammatory bowel disease; ESR: erythrocyte sedimentation rate; CRP: C-reactive protein; ALT: alanine aminotransferase; GGT: gamma-glutamyl transpeptidase.
Adapted from: Noe JD, Li BU. Navigating recurrent abdominal pain through clinical clues, red flags, and initial testing. Pediatr Ann 2009; 38:259.
Graphic 90726 Version 3.0

آیا می خواهید مدیلیب را به صفحه اصلی خود اضافه کنید؟