Abdominal wall pain

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Abdominal wall pain is essentially a pulled muscle, usually in a child. It is diagnosed clinically, and has a typical history of onset with exertion, injury, coughing or vomiting. The pain is constant with acute attacks, and may be meal-related, particularly if it is epigastric.

Localized tenderness of the abdomen is made worse with tension of the abdominal muscles. Caution should be taken with this diagnosis, since acute pain may be secondary to guarding.