I struggled to find PEM resources for my CT3 year, despite the variety of excellent resources out there. I hope this website will help point you in the right direction. I'm not a PEM expert, but am following the guidance CEM have issued (in the form of a syllabus) to put together this page. This page is not endorsed by CEM, and any mistakes are mine.

Please comment with corrections, additions and further suggestions.

All the information here is collected from the internet, and it might be out of date or inaccurate, so please use your judgement and adhere to your hospital's protocols. If you do notice any errors or omissions please comment so we can put them right!

To navigate, decide whether you want to start with a PMP or a PAP. You can then select which PMP or PAP you want to look at. You will then be taken to the summary page for that PMP, with links expanded topic collections. If you know what topic you want to look at already, click on the link on the right hand side.

Friday, 21 March 2014

Abdominal Pain in Children


As always, the syllabus is fairly vague. There are three groups of causes of abdominal pain in children (as I see it). 1. More likely in children, 2. more likely in adults but could happen in children, 3. referred or non- abdominal.

More Likely in Children
Testicular Torsion
Referred Scrotal Pain
Foreign body ingestion

More Likely in Adults
Gall stones
Inflammatory bowel disease (Crohns) with or without toxic megacolon

Non abdominal
Abdominal migraine
Pneumonia pain
DKA pain
HSP pain
Sickle cell pain

There are many resources on assessing and managing abdominal pain. Take a good history, examine carefully, interpret observation trends, ensure early analgesia - and if in doubt...refer. 


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