Tre raccomandazioni al pediatra da parte del chirurgo pediatra
Dipartimento di Chirurgia Pediatrica, IRCCS “Burlo Garofolo”, Trieste
RECOMMENDATIONS TO PAEDIATRICIANS BY THE SURGEON
Key words: Appendicitis, Intestinal occlusion, Testicular torsion, Paediatric surgery
The Author provides essential clues for the first approach to common surgical emergencies
by practising paediatricians. For acute appendicitis, they are: pain, first periumbilical and
colicky then right-sided and continuous; fever, usually moderate; vomiting and no stools
passed; usefulness of Blumberg test and heel test and ultrasound, and uselessness of lab
examinations. For intestinal occlusion, the paediatricians should remember the age-dependent
character of the causes, the main clinical signs being vomiting and a distended abdomen.
For testicular torsion, the need for immediate referral without any delay.