gastroenteritis

DC Inst – Gastroenteritis

DC

You have been evaluated in the Emergency Department today for nausea and vomiting. Your evaluation suggests that your symptoms are most likely due to viral illness which will improve on its own with rest and fluids. Remember to drink plenty of fluids at home.

Please follow up with your primary care physician within two days.

Return to the Emergency Department if you experience worsening or uncontrolled pain, inability to tolerate fluids by mouth, difficulty breathing, fevers 100.4°F or greater, recurrent vomiting, or any other concerning symptoms.

Thank you for choosing us for your care.

Gastroenteritis – Low Risk

MDM

This patient presents with *** nausea, vomiting & diarrhea. Differential diagnoses includes possible acute gastroenteritis. Abdominal exam without peritoneal signs. Currently ***euvolemic without evidence of dehydration. No evidence of surgical abdomen or other acute medical emergency including bowel obstruction, viscus perforation, vascular catastrophe, atypical appendicitis, acute cholecystitis at this time. Presentation not consistent with other acute, emergent causes of vomiting / diarrhea at this time. No indication for abdominal imaging.

Plan: supportive care, oral // IV rehydration ***, serial abdominal exam, reassess

Peds – Gastro/AGE – Nontoxic

Peds

This is a *** pt presenting with abdominal pain, +fever, +myalgias, +diarrhea, and nausea most consistent with viral gastroenteritis. ***sick contacts with similar symptoms. Differential includes invasive/toxic diarrhea, sepsis, influenza, along with the far less likely surgical etiologies such as volvulus, appendicitis, malro, and SBO. No change in diet or abnormal exposures. No known stagnant water exposure, recent camping/hiking. No dietary history or bloody BM’s suggestive of B. Cereus, S. Aureus, or other invasive bacterial enteric pathogens. Pt with good capillary refill (<2 sec), MMM, and is nonseptic in appearance. Clinically is not dehydrated.  Unlikely to represent unusual manifestation of UTI, GERD, partial or complete anatomical obstruction, or other acute abdomen. Pt tolerating PO rehydration and is very well-appearing.

Plan: Presumed self-limited etiology; plan to DC home with return precautions and oral rehydration education.