To the Editor: The Rational Clinical Examination by Dr Ranji and colleagues1 concluded that opiate administration in patients with acute abdominal pain may alter the physical examination findings, but these changes result in no significant increase in management errors. We hope these conclusions will help to modify the attitudes of pediatricians who are still reticent to use analgesic drugs in children presenting with acute abdominal pain.2
Radzik D, Bua J, Marchetti F. Opiates and Acute Abdominal Pain. JAMA. 2007;297(5):467–468. doi:10.1001/jama.297.5.467-b
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