- Always think inside AND outside the abdomen when evaluating children for abdominal pain
- Obstruction in children does not always produce distension or peritoneal signs
- To accurately evaluate for obstruction you need supine and upright (or decubitus) Xrays
- Lethargy can be the sole presentation of intussusception in infants and toddlers (See PedEMMorsel)
- Bilious emesis in neonates is a surgical emergency even if they look well
- Pyloric stenosis rarely occurs after 8-10 weeks of age
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Department of Emergency Medicine
Medical Education Building., Third floor
1000 Blythe Blvd.
Charlotte, NC 28203