General Info |
HPI/Physical |
Acute diarrhea defined as three
or more loose or watery stools per day;
>10
mL/kg/d in the infant and young child, and >200 g/d in the
teenager and adult. The increase in water in the stools is due to a
change in the physiology of the small and large intestinal absorption
of ions and other substrates. Infectious is the most common cause of acute diarrhea, but do not dismiss other noninfectious causes of diarrhea |
History: Characteristics of consistency, color, volume, and frequency: bloody, watery, mucous, large/small volume, increased flatulence, foul-smelling stools Food history: Ingestion of raw or contaminated food, water exposure, a history of camping, or travel history may indicate a cause for diarrhea. Symptoms: Abdominal pain: usually nonspecific nontender with cramping, borborygmi, dehydration, failure to thrive, malnutrition, perianal erythema |
Dysentary/Colitis (Invasive Diarrhea) |
Bacterial Enteritis (Toxin/Food Poisoning) |
Viral Gastroenteritis |
Protozoan Gastroenteritis |
Secondary to Medication/Disease |
Secondary to Medication |
Salmonella Shigella Campylobacter Yersinia enterocolitica EHEC Clostridium Difficile |
Staph Aureus Bacillus Cereus ETEC Clostridium Perfringens Scombroid Ciguatera Klebsiella Vibrio Cholera |
Rotavirus Norwalk Adenovirus |
Entamoeba Giardia Cryptosporidium |
Appendicitis Carcinoid Tumor Hyperthyroidism Irritable Bowel Syndrome Inflammatory Bowel: Crohn Disease Ulcerative Colitis Malabsorption Syndromes Lactose Intolerance Short Gut Syndrome |
Antibiotic Associated Laxative Opiate Withdrawal Chemotherapy Induced Radiation Induced |