conclusions this case showed the effect of additional anakinra on children with fmf who were colchicine resistant. case presentation herein was reported a colchicine non-responsive patient with accurate diagnosis and early treatment of fmf. she had presented with recurrent and persistent acute abdominal pain attacks and several abdominal surgeries. addition of recombinant interleukin-1 receptor...

OBJECTIVES To examine the effects of early administration of analgesics in patients with acute abdominal pain on pain severity, abdominal findings and diagnostic accuracy. METHODS 210 patients with non-traumatic acute abdominal pain lasting less than 72 hours were enrolled to this trial. Patients were administrated by placebo, tramadol (1 mg/kg), or paracetamol (15 mg/kg) randomly after the f...

1. Characterize the epidemiology and classification of recurrent abdominal pain. 2. List the major clinical conditions that manifest with recurrent abdominal pain. 3. Describe the most important findings in the history and physical examination of the child who has recurrent abdominal pain that suggest an organic medical condition. 4. Outline a targeted approach to ordering investigations that w...

The thoracic splanchnic nerve block has been used in managing abdominal pain, especially for pains arising from abdominal cancers. A 27-year-old male patient who had a constant abdominal pain was referred to our clinic for pain management but had no organic disease. The numeric rating scale (NRS) for pain scored 7/10. We applied a diagnostic thoracic splanchnic nerve block under the diagnosis o...

Abdominal pain remains a common problem in childhood and often results in admission to hospital. Of these children, however, only 30-40% will require surgical intervention. 3 Most are discharged with a diagnosis of non-specific abdominal pain. To elucidate whether non-specific abdominal pain is more common during the school term compared with the school holiday we investigated the admission rat...

Accepted 20 March 1997 A 55-year-old man presented with a two-year history of post-prandial epigastric pain and 10 kg weight loss. He smoked 20 cigarettes per day and suffered intermnittent claudication. Physical examination revealed bilateral absence of dorsalis pedis and anterior tibial arterial pulsation. His symptoms continued for a further two years and his weight fell by a further 3 kg. O...

OBJECTIVE: To present current concepts about the diagnosis of recurrent abdominal pain and to review the basis of the therapeutic approach for this disease in children and adolescents. METHODS: References were obtained from the Medline, from recent review articles, and from personal files. Books and dissertations were also analyzed. Only the most important articles were included in this review....