What is the diagnosis for a 9-year-old patient presenting with a 1-day history of diffuse abdominal pain of mild intensity, without nausea, vomiting, diarrhea, or other symptoms, and physical examination findings of mild abdominal tenderness, increased tympanism (abdominal distension), and no signs of peritoneal irritation?

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Diferencial de Diagnóstico Para un paciente de 9 años con dolor abdominal difuso de leve intensidad, sin náuseas, vómitos, diarrea u otra sintomatología, y con dolor abdominal leve a la palpación, aumento de timpanismo y sin signos de irritación peritoneal, se consideran las siguientes posibilidades:

  • Diagnóstico más probable
  • Constipación: El aumento de timpanismo y el dolor abdominal leve pueden ser síntomas de constipación, especialmente en niños. La falta de otras sintomatologías como náuseas, vómitos o diarrea apoya esta posibilidad.
  • Otros diagnósticos probables
  • Gastroenteritis viral: Aunque el paciente niega náuseas, vómitos y diarrea, es posible que esté en una fase temprana de la enfermedad o que los síntomas no sean tan prominentes.
  • Colico abdominal funcional: Los niños pueden experimentar dolores abdominales funcionales sin una causa orgánica aparente, y el aumento de timpanismo puede ser un hallazgo incidental.
  • No debes perder de vista (diagnósticos que no son tan probables, pero que serían mortales si se pierden)
  • Apéndice agudo: Aunque el paciente no presenta signos de irritación peritoneal, es importante considerar la posibilidad de apéndice agudo, especialmente si el dolor abdominal empeora o se localiza en el cuadrante inferior derecho.
  • Intususcepción: Esta condición puede causar dolor abdominal y aumento de timpanismo, y es importante considerarla en niños menores de 10 años.
  • Diagnósticos raros
  • Enfermedad de Crohn o colitis ulcerosa: Aunque es raro en niños, es importante considerar la posibilidad de enfermedad inflamatoria intestinal si el dolor abdominal persiste o empeora.
  • Torsión testicular: Aunque no es un diagnóstico abdominal, es importante considerar la posibilidad de torsión testicular en niños varones, especialmente si el dolor abdominal se irradia al escroto.

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This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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