Recurrent abdominal pain — school avoidance / functional
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Teaching point — how the wording changes the answer
Abdominal pain that occurs only on school days and resolves when off school, in an otherwise well child, is functional / school-related. Address psychosocial factors (family interview) rather than invasive investigation.
Q134
Child, morning abdominal pain, well at school, normal routine. Initial investigation?
Key clue
Well at school
Show answer
Abdominal ultrasound (initial) — or reassure
Q240
Morning abdo pain only on school days, NO pain when on leave
Key clue
Pain disappears off school
Show answer
Anxiety/functional -> reassure / family therapy
Q263
Morning abdo pain resolves afternoon, recurrent school absence
Key clue
School absence pattern
Show answer
Family interview
Q472
Functional constipation child (imaging / no investigation)
Key clue
No red flags
Show answer
No investigation needed