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Dolor abdominal en lactante: diagnóstico diferencial

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Dolor abdominal en lactante: diagnóstico diferencial

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Caso clínico infantil breve

Created by

Ana Vargas
Ana Vargas
Ecuador

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Dolor abdominal en lactante: diagnóstico diferencial
 

Dolor abdominal en lactante: diagnóstico diferencialOnline version

Caso clínico infantil breve

by Ana Vargas
1

¿Qué sospecha diagnóstica es la más probable ante dolor abdominal diario en un lactante de 5 meses, que empeora al inicio de la toma y reduce el apetito?

2

¿Qué hallazgo aumenta la sospecha de alergia a proteína de la leche de vaca en este contexto?

3

Otra posible causa de dolor abdominal en lactante que se debe diferenciar de la intususcepción.

4

En un lactante con dolor abdominal que empeora tras la alimentación, ¿qué prueba inicial puede ayudar a descartar obstrucción intestinal grave?

Explicación

La intususcepción es una causa clave de dolor abdominal intermitente en lactantes, a menudo con dolor que llega y se retira.

La alergia a la leche puede presentarse con irritabilidad, llanto, y síntomas GI tras la leche.

La alergia a la leche es un diferencial común en lactantes con dolor y alteración gastrointestinal.

El ultrasonido es útil para detectar intususcepción y otras etiologías.

 
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