Diarrhea resident survival guide (pediatrics): Difference between revisions

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{{familytree | | | | C01 | | | | | | C02 | | | C03 |C01=Mild Dehydration|C02=Moderate Dehydration|C03=Severe Dehydration}}
{{familytree | | | | C01 | | | | | | C02 | | | C03 |C01=Mild Dehydration|C02=Moderate Dehydration|C03=Severe Dehydration}}
{{familytree | | | | |!| | | | | | | |!| | | |!| |}}
{{familytree | | | | |!| | | | | | | |!| | | |!| |}}
{{familytree | | | | C01 | | | | | | C02 | | C03 | |C01= Home with DGKJ information sheet, patient |C02=|C02=Evidence of dehydration or > 8 watery stools in 24 hours or > 4 episodes of vomiting in 24 hours or < 6 months old |C03=Dehydration > 9 % Shock, Impaired consciousness}}
{{familytree | | | | C01 | | | | | | C02 | | C03 | |C01= Home with DGKJ information sheet, patient prescription, and dietary recommendations |C02=|C02=Evidence of dehydration or > 8 watery stools in 24 hours or > 4 episodes of vomiting in 24 hours or < 6 months old |C03=Dehydration > 9 % Shock, Impaired consciousness}}





Revision as of 19:57, 9 December 2020


Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Usman Ali Akbar, M.B.B.S.[2]

Synonyms and keywords:

Diarrhea resident survival guide (pediatrics) Microchapters
Overview
Causes
FIRE
Diagnosis
Treatment
Do's
Don'ts

Overview

Diarrhea remains one of the leading causes of preventable death in developing countries, especially among children under 5 years of age. Diarrhea is defined as an increase in the number of stools or the presence of looser stools than is normal, like more than three bowel movements each day. Acute diarrhea is when diarrhea occurs for less than 3 weeks total. When diarrhea lasts longer than three weeks, it is considered to be chronic.

Causes

Life Threatening Causes Common Causes Misc
  • Cholera
  • Entamoeba histolytica
  • Enterohemorrhagic Escherichia coli (EHEC)
  • Enteroinvasive Escherichia coli (EIEC)
  • Campylobacter spp.
  • Nontyphoidal Salmonella enterica
  • Rotavirus.
  • Enterotoxigenic Escherichia coli (ETEC)
  • Cryptosporidium
  • Shigella spp.

FIRE: Focused Initial Rapid Evaluation

  • A Focused Initial Rapid Evaluation (FIRE) should be performed to identify the patients in need of immediate intervention].


 
 
 
 
 
 
 
 
 
 
Patient presents with acute diarrhea in Emergency
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Mild Dehydration
 
 
 
 
 
Moderate Dehydration
 
 
Severe Dehydration
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Home with DGKJ information sheet, patient prescription, and dietary recommendations
 
 
 
 
 
Evidence of dehydration or > 8 watery stools in 24 hours or > 4 episodes of vomiting in 24 hours or < 6 months old
 
Dehydration > 9 % Shock, Impaired consciousness
 

Complete Diagnostic Approach

Shown below is an algorithm summarizing the diagnosis of [[disease name]] according the the [...] guidelines.

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Treatment

Shown below is an algorithm summarizing the treatment of [[disease name]] according the the [...] guidelines.

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Do's

  • The content in this section is in bullet points.

Don'ts

  • The content in this section is in bullet points.

References