There is probably nothing more perplexing or difficult to evaluate than abdominal pain in children, or to estimate the pathologic condition in the abdominal cavity in these cases. The youngchild himself is not old enough to talk, or, if he is, it is difficult to determine from his description how much pain he really has. In children up to 5 or 6 years of age it is hard at times to make out local tenderness or the local areas that are affected in the abdomen by percussion or palpation. Again, the physician or the surgeon is dependent on the intelligence of the mother, who has been with the child, for an accurate history of the course of the disease and the duration of the symptoms. In view of these two factors it is often difficult for the surgeon to decide whether he is dealing with a surgical condition in the
STRAUSS AA. ABDOMINAL PAIN IN CHILDREN FROM A SURGICAL STANDPOINT. JAMA. 1945;128(5):330–335. doi:10.1001/jama.1945.02860220012004
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