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Lancet 2003;362(9386):782-788 [DOI] [PubMed] [Google Scholar] 89.Radack K, Deck C

If a child does not respond to one of the discussed regimens or the episode differs from previous ones by greater severity, longer duration, or different symptoms, then the clinician should consider the possibility of an underlying disease (e.g., acute appendicitis, pancreatitis, brain tumor) and the need for new or to repeat diagnostic testing (e.g., abdominal ultrasound, brain TC/MRI) (79)