Barriers to Sexual History Taking in Adolescent Girls With Abdominal Pain in the Pediatric Emergency Department

2009 ◽  
Vol 25 (10) ◽  
pp. 629-632 ◽  
Author(s):  
Allison Morand ◽  
Shelley McLeod ◽  
Rodrick Lim
Keyword(s):  
Emergency Department ◽  
Abdominal Pain ◽  
Adolescent Girls ◽  
Pediatric Emergency ◽  
Sexual History ◽  
Pediatric Emergency Department ◽  
History Taking ◽  
Sexual History Taking

Opioid administration for acute abdominal pain in the pediatric emergency department

2007 ◽  
Vol 3 (1) ◽  
pp. 11 ◽  
Author(s):  
Adi Klein-Kremer, MD ◽  
Ran D. Goldman, MD
Keyword(s):  
Emergency Department ◽  
Abdominal Pain ◽  
Diagnostic Accuracy ◽  
Acute Abdominal Pain ◽  
Pediatric Emergency ◽  
Current Evidence ◽  
Opioid Analgesia ◽  
Pediatric Emergency Department ◽  
Opioid Administration ◽  
Unclear Etiology

The use of opioid analgesia for acute abdominal pain of unclear etiology has traditionally been thought to mask symptoms, alter physical exam findings, delay diagnosis, and increase morbidity and mortality. However, studies in children and adults have demonstrated that administering intravenous opioids to patients with acute abdominal pain induces analgesia but does not delay diagnosis or adversely affect diagnostic accuracy. This review discusses the effects of opioid administration on pain relief and diagnostic accuracy in children with moderate to severe acute abdominal pain who have been evaluated in the emergency department. We hold that current evidence supports the administration of opioids to children with acute abdominal pain, and future trials will help determine safe and effective timing and dosing related to opioid administration.

Sign in / Sign up

Export Citation Format

Share Document