Diagnostic value of ultrasonographic examination for functional head ache and abdominal ache in the adolescents from the perspective of evidence-based medicine
Matching groups of male adolescents at age 14-18 years living in Saint Petersburg cadet corps wre enrolled into the blind case control study: the incidence of recurrent head ache (HA) and/or abdominal ache (AA) was 17,7; the incidence of HA alone 9.5%, AA alone 2.8%; combination of these diagnosis was found in 5.5% of cadets. Functional genesis of the pain syndromes was observed. No evidence-based clinically relevant ultrasonographic symptoms were revealed. Integrated sonographic diagnostics is not mandatory at the initial examination of male adolescents with tension headache and/or functional gastrointestinal disorders with AA provided no anxiety symptoms are observed. Appearance of the anxiety symptoms justifies more fundamental examination including the use of ultrasonographic methods.