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10.1093/jscr/rjaa337

http://scihub22266oqcxt.onion/10.1093/jscr/rjaa337
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32994918!7505408!32994918
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suck abstract from ncbi

pmid32994918      J+Surg+Case+Rep 2020 ; 2020 (9): rjaa337
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  • Paediatric abdominal pain in the time of COVID-19: a new diagnostic dilemma #MMPMID32994918
  • Harwood R; Partridge R; Minford J; Almond S
  • J Surg Case Rep 2020[Sep]; 2020 (9): rjaa337 PMID32994918show ga
  • The diagnostic uncertainty for children with abdominal pain has increased during the COVID-19 pandemic with the additional consideration of both COVID-19 and paediatric inflammatory multisystem syndrome-temporally associated with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (PIMS-TS) alongside appendicitis, mesenteric adenitis and other less common causes of abdominal pain. We describe the cases of two children who presented with severe abdominal pain, non-bilious vomiting and high temperatures during the UK's first peak of the COVID-19 pandemic. Laboratory and abdominal ultrasound features were similar for both children but symptom progression in combination with cross-sectional abdominal imaging enabled differentiation between PIMS-TS and appendicitis with concurrent COVID-19. These cases highlight the importance of regular clinical review, multidisciplinary working and the utility of early cross-sectional imaging to determine the underlying condition.
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