Consider other diagnosis, off pathway
Signs of severe renal disease
Off pathway, treat appropriately
Consider rheumatology or nephrology consult
Clinical finidings consistant with HSP?
Severe secondary effects of pain?
Signs of severe renal disease?
Tolerating PO?
Clinical findings in HSP
Epidemiology
Severe abdominal pain?
Consider additional imaging other than US if clinical signs concerning for bowel infarction, or perforation
Need for hospitalization?
Consider nephrology consult
Potential reasons for hospitalizations
Admit, treat appropriately for associated complications
Severe secondary effects of pain
Hemorrhagic stroke may occur in the setting of HSP, however it is very rare. Most CNS findings in HSP are transitory.