Endocrine System

{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"Abdominal pain and vomiting is very common in childhood, and is often due to benign conditions such as gastroenteritis or food poisoning.\n\nHowever, this child looks ill, and is markedly dehydrated - warning signs that a more severe pathology may be present.\n\nAt this point, the most important etiologies to consider are gastrointestinal conditions such as acute appendicitis and acute hepatitis; genitourinary conditions such as acute pyelopnephritis; and metabolic conditions such as diabetic ketoacidosis (DKA) or an adrenal (Addisonian) crisis.\n\nAcute hepatitis is unlikely in the absence of anorexia, jaundice or right hypochondriac tenderness.\n\nWhile the absence of fever, periumbilical pain, and tenderness or guarding in the right iliac fossa "}]}

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