Society for Pediatric Pain Medicine
Better Care for Children in Pain

The Society for Pediatric Pain Medicine (SPPM) aims to advance the quality of anesthesia care and the alleviation of pain-related conditions in children.

Society for Pediatric
Pain Medicine

Better Care for Children in Pain

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Question of the Month June

Written by:


 Bob Wilder, MD


The Mayo Clinic, Rochester, MN




A 15-year-old girl developed an acute viral intestinal illness several months ago with nausea, vomiting and diarrhea.  These symptoms resolved in 7 – 10 days, but she has had postprandial right upper quadrant abdominal pain since.  She notes that she also hurts with exercise.  A pediatric gastroenterologist has seen her and has completed a workup consisting of a normal abdominal ultrasound, an EGD that was normal both visually and by pathology.  Disaccharidase levels are normal.  Gastric emptying studies were also normal.  Fructose breath test was normal.  Abdominal radiograph shows “non-obstructive pattern with mild to moderate stool in the colon.” She may have increased pain with bearing down to have a bowel movement, but it returns to baseline thereafter.   On exam the gastroenterologist states she has a “positive Carnett’s sign” in the right upper quadrant. 




What is a Carnett’s sign? 

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Upcoming Meeting Information

SPPM 11th Annual Meeting
April 11, 2024
Anaheim Marriott
Anaheim, CA

 

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