Acute gastroenteritis: Difference between revisions

(Noninvasive chart)
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===Causes===
===Causes===
*Viral
 
*Non-Invasive
{| class="wikitable"
*Invasive
|+ Noninvasive AGE
|-
! Species!! Onset !! Symptoms !! Transmisison !! Preformed Toxin
|-
| Viral || Example || Example || Example || No
|-
| [[S. aureus|Staph]]|| Example || Example || Example || Yes
|-
| [[Bacillus cereus|B. cereus]]|| Example || Example || Example || Yes
|-
| [[Clostridium (not difficile)|C. perfringens]]|| Example || Example || Example || Yes
|-
| [[Vibrio cholera|V. cholerae]]|| Example || Example || Example || No
|-
| [[Giardia]]|| Example || Example || Example || No
|}


{| class="wikitable sortable"
{| class="wikitable sortable"

Revision as of 03:13, 31 October 2015

Background

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

Causes

Noninvasive AGE
Species Onset Symptoms Transmisison Preformed Toxin
Viral Example Example Example No
Staph Example Example Example Yes
B. cereus Example Example Example Yes
C. perfringens Example Example Example Yes
V. cholerae Example Example Example No
Giardia Example Example Example No
Invasive AGE
Species Onset Symptoms Transmission
Salmonella 6-72 hours
  • Eggs
  • Poultry
  • Water
  • Reptiles
Shigella 1-3 days
  • Food
  • Fecal-Oral
Yersinia 1-5 days
  • Water
  • Milk
  • Pork
  • Wild Animals
  • Fecal-Oral
Campylobacter 1-7 days
  • Water
  • Poultry
  • Pets/Animals
C. Diff 1-11 Weeks
  • Copious FOUL diarrhea
Entamoeba 1-11 weeks
  • Water
  • Sanitation
  • Travel

Clinical Features

Differential Diagnosis

Diffuse Abdominal pain

Diagnosis

  • Assess hydration status
    • Cap refill, skin turgor, resp rate
  • Consider stool labs if:

Treatment

  1. Oral rehydration therapy
    • 30mL(1oz)/kg/hr
  2. Antiemetic
  3. Antibiotics

Disposition

See Also

References