Acute gastroenteritis: Difference between revisions

(Created page with "==Background== *Blood diarrhea suggests bacterial etiology *Viral AGE usually lasts <7d *Do not dx isolated vomiting as AGE ==Diagnosis== *Vomiting/diarrhea *Crampy/diffuse abdom...")
 
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==See Also==
==See Also==
[[Diarrhea (Peds)]]
[[Dehydration]]


==Source==
==Source==

Revision as of 22:11, 22 June 2011

Background

  • Blood diarrhea suggests bacterial etiology
  • Viral AGE usually lasts <7d
  • Do not dx isolated vomiting as AGE

Diagnosis

  • Vomiting/diarrhea
  • Crampy/diffuse abdominal pain

Work-Up

  • Assess hydration status
    • Cap refill, skin turgor, resp rate
  • Consider stool labs if:
    • >10 stools in previous 24hr
    • Travel to high-risk country
    • Fever
    • Bloody stool
    • Persistent diarrhea

DDx

Treatment

  1. Oral rehydration therapy
    1. 30mL(1oz)/kg/hr
  2. Antiemetic
    1. Ondansetron 0.15mg/kg/dose IV/PO
  3. Antibiotics
    1. Only consider in pts w/ invasive infection
      1. Shigella, campylobacter, E. coli, yersinia, vibrio
      2. Bloody stool w/ mucus and fever
    2. NOT indicated for E. coli O157:H7
    3. NOT routinely indicated for salmonella
      1. Exceptions: SCD, IBD, <3mo
    4. Azithromycin (able to tolerate PO)
    5. CTX (parenteral)

Disposition

See Also

Diarrhea (Peds) Dehydration

Source

Tintinalli

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