Viral gastroenteritis - Revision history

Ostermayer: Prepared the page for translation

2026-01-05T00:03:10Z

Prepared the page for translation

← Older revision		Revision as of 00:03, 5 January 2026
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	''See [[Acute gastroenteritis (peds)]] for pediatric patients''		<languages/>
			<translate>
			''See [[Special:MyLanguage/Acute gastroenteritis (peds)\|Acute gastroenteritis (peds)]] for pediatric patients''

	==Background==		==Background==
	*Most common cause of [[acute gastroenteritis]] (AGE)
			*Most common cause of [[Special:MyLanguage/acute gastroenteritis\|acute gastroenteritis]] (AGE)
	*Viral gastroenteritis usually lasts <7d		*Viral gastroenteritis usually lasts <7d
	*Do NOT diagnosis isolated vomiting as AGE!		*Do NOT diagnosis isolated vomiting as AGE!


	==Clinical Features==		==Clinical Features==
	*[[Vomiting]]
	*Watery, non-bloody [[diarrhea]]		*[[Special:MyLanguage/Vomiting\|Vomiting]]
	*Crampy/diffuse [[abdominal pain]]		*Watery, non-bloody [[Special:MyLanguage/diarrhea\|diarrhea]]
			*Crampy/diffuse [[Special:MyLanguage/abdominal pain\|abdominal pain]]
	*Features that suggest non-viral etiology:		*Features that suggest non-viral etiology:
	**[[rectal bleeding\|Bloody diarrhea]] ([[Salmonella]], [[shigella]])		**[[Special:MyLanguage/rectal bleeding\|Bloody diarrhea]] ([[Special:MyLanguage/Salmonella\|Salmonella]], [[Special:MyLanguage/shigella\|shigella]])
	**[[RLQ pain]] ([[Yersinia]], [[Entamoeba]])		**[[Special:MyLanguage/RLQ pain\|RLQ pain]] ([[Special:MyLanguage/Yersinia\|Yersinia]], [[Special:MyLanguage/Entamoeba\|Entamoeba]])
	**Recent [[antibiotics]] + copious, foul diarrhea ([[C. Diff]])		**Recent [[Special:MyLanguage/antibiotics\|antibiotics]] + copious, foul diarrhea ([[Special:MyLanguage/C. Diff\|C. Diff]])
	**Consumption of previously cooked/reheated foods (especially meats, mayonnaise, etc.)		**Consumption of previously cooked/reheated foods (especially meats, mayonnaise, etc.)
	**Explosive, "rice-water" diarrhea ([[cholera]])		**Explosive, "rice-water" diarrhea ([[Special:MyLanguage/cholera\|cholera]])
	**bloating, really nasty flatus/stools ([[giardia]])		**bloating, really nasty flatus/stools ([[Special:MyLanguage/giardia\|giardia]])


	==Differential Diagnosis==		==Differential Diagnosis==

			</translate>
	{{Abdominal Pain DDX Diffuse}}		{{Abdominal Pain DDX Diffuse}}
			<translate>
			</translate>
	{{Nausea and vomiting DDX}}		{{Nausea and vomiting DDX}}
			<translate>


	==Evaluation==		==Evaluation==

	*Assess hydration status		*Assess hydration status
	**Cap refill, skin turgor, respiratory rate		**Cap refill, skin turgor, respiratory rate
	*Consider stool studies if:		*Consider stool studies if:
	**>10 stools in previous 24hr		**>10 stools in previous 24hr
	**[[Traveler's diarrhea\|Travel to high-risk country]]		**[[Special:MyLanguage/Traveler's diarrhea\|Travel to high-risk country]]
	**[[Fever]]		**[[Special:MyLanguage/Fever\|Fever]]
	**[[rectal bleeding\|Bloody stool]]		**[[Special:MyLanguage/rectal bleeding\|Bloody stool]]
	**Persistent diarrhea		**Persistent diarrhea


	==Management==		==Management==

	#Rehydration (PO preferred)		#Rehydration (PO preferred)
	#*30mL(1oz)/kg/hr		#*30mL(1oz)/kg/hr
	#*[[Reduced-osmolarity oral rehydration solution]]		#*[[Special:MyLanguage/Reduced-osmolarity oral rehydration solution\|Reduced-osmolarity oral rehydration solution]]
	#[[Antiemetics]]		#[[Special:MyLanguage/Antiemetics\|Antiemetics]]
	#*[[Ondansetron]] 0.15mg/kg/dose IV/PO		#*[[Special:MyLanguage/Ondansetron\|Ondansetron]] 0.15mg/kg/dose IV/PO
	#*May worsen diarrhea		#*May worsen diarrhea


	==Disposition==		==Disposition==

	*Most can be discharged		*Most can be discharged


	===Admit===		===Admit===

	*Unable to tolerate PO		*Unable to tolerate PO
	*Hemodynamic instability		*Hemodynamic instability
	*Significant comorbidities		*Significant comorbidities


	==See Also==		==See Also==
	*[[Acute gastroenteritis]]
	*[[Nausea and Vomiting]]		*[[Special:MyLanguage/Acute gastroenteritis\|Acute gastroenteritis]]
	*[[Acute gastroenteritis (peds)]]		*[[Special:MyLanguage/Nausea and Vomiting\|Nausea and Vomiting]]
	*[[Dehydration]]		*[[Special:MyLanguage/Acute gastroenteritis (peds)\|Acute gastroenteritis (peds)]]
	*[[Acute diarrhea]]		*[[Special:MyLanguage/Dehydration\|Dehydration]]
			*[[Special:MyLanguage/Acute diarrhea\|Acute diarrhea]]

	==External Links==		==External Links==


	==References==		==References==

	<references/>		<references/>

	[[Category:ID]] [[Category:GI]]		[[Category:ID]] [[Category:GI]]
			</translate>

ClaireLewis at 16:49, 30 September 2019

2019-09-30T16:49:05Z

← Older revision		Revision as of 16:49, 30 September 2019
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	*Crampy/diffuse [[abdominal pain]]		*Crampy/diffuse [[abdominal pain]]
	*Features that suggest non-viral etiology:		*Features that suggest non-viral etiology:
	**Bloody diarrhea ([[Salmonella]], [[shigella]])		**[[rectal bleeding\|Bloody diarrhea]] ([[Salmonella]], [[shigella]])
	**RLQ pain ([[~~Yersina~~]], [[Entamoeba]])		**[[RLQ pain]] ([[Yersinia]], [[Entamoeba]])
	**Recent antibiotics + copious, foul diarrhea ([[C. Diff]])		**Recent [[antibiotics]] + copious, foul diarrhea ([[C. Diff]])
	**Consumption of previously cooked/reheated foods (especially meats, ~~mayonaise~~, etc.)		**Consumption of previously cooked/reheated foods (especially meats, mayonnaise, etc.)
	**Explosive, "rice-water" diarrhea ([[cholera]])		**Explosive, "rice-water" diarrhea ([[cholera]])
	**bloating, really nasty flatus/stools ([[giardia]])		**bloating, really nasty flatus/stools ([[giardia]])
Line 20:		Line 20:
	{{Abdominal Pain DDX Diffuse}}		{{Abdominal Pain DDX Diffuse}}
	{{Nausea and vomiting DDX}}		{{Nausea and vomiting DDX}}

	==Evaluation==		==Evaluation==
	*Assess hydration status		*Assess hydration status
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	**>10 stools in previous 24hr		**>10 stools in previous 24hr
	**[[Traveler's diarrhea\|Travel to high-risk country]]		**[[Traveler's diarrhea\|Travel to high-risk country]]
	**Fever		**[[Fever]]
	**Bloody stool		**[[rectal bleeding\|Bloody stool]]
	**Persistent diarrhea		**Persistent diarrhea

	==Management==		==Management==
	#Rehydration (PO preferred)		#Rehydration (PO preferred)
	#*30mL(1oz)/kg/hr		#*30mL(1oz)/kg/hr
	#*[[Reduced-osmolarity oral rehydration solution]]		#*[[Reduced-osmolarity oral rehydration solution]]
	#~~Antiemetic~~		#[[Antiemetics]]
	#*[[Ondansetron]] 0.15mg/kg/dose IV/PO		#*[[Ondansetron]] 0.15mg/kg/dose IV/PO
	#*May worsen diarrhea		#*May worsen diarrhea

ClaireLewis at 23:23, 10 September 2016

2016-09-10T23:23:06Z

← Older revision		Revision as of 23:23, 10 September 2016
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	==References==		==References==
	<references/>		<references/>

			[[Category:ID]] [[Category:GI]]

Rossdonaldson1: /* Disposition */

2016-08-15T01:58:04Z

Disposition

← Older revision		Revision as of 01:58, 15 August 2016
Line 39:		Line 39:
	==Disposition==		==Disposition==
	*Most can be discharged		*Most can be discharged
	*Admit
	**Unable to tolerate PO		===Admit===
	**Hemodynamic instability		*Unable to tolerate PO
	**Significant comorbidities		*Hemodynamic instability
			*Significant comorbidities

	==See Also==		==See Also==
	*[[Acute gastroenteritis]]		*[[Acute gastroenteritis]]

ClaireLewis: /* Background */

2016-08-10T19:05:59Z

Background

← Older revision		Revision as of 19:05, 10 August 2016
Line 1:		Line 1:
	''See [[Acute gastroenteritis (peds)]] for pediatric patients''		''See [[Acute gastroenteritis (peds)]] for pediatric patients''
	==Background==		==Background==
	*Most common cause of acute gastroenteritis (AGE)		*Most common cause of [[acute gastroenteritis]] (AGE)
	*Viral gastroenteritis usually lasts <7d		*Viral gastroenteritis usually lasts <7d
	*Do NOT diagnosis isolated vomiting as AGE!		*Do NOT diagnosis isolated vomiting as AGE!

ClaireLewis: /* Management */

2016-08-10T19:05:09Z

Management

← Older revision		Revision as of 19:05, 10 August 2016
Line 32:		Line 32:
	#Rehydration (PO preferred)		#Rehydration (PO preferred)
	#*30mL(1oz)/kg/hr		#*30mL(1oz)/kg/hr
			#*[[Reduced-osmolarity oral rehydration solution]]
	#Antiemetic		#Antiemetic
	#*[[Ondansetron]] 0.15mg/kg/dose IV/PO		#*[[Ondansetron]] 0.15mg/kg/dose IV/PO
	#~~[[Antibiotics]]~~		#*May worsen diarrhea
	~~#*Only consider in patients with invasive infection~~
	#**~~[[Shigella]], [[campylobacter]], [[E. coli]], [[yersinia]], [[vibrio]]~~
	~~#**Bloody stool with mucus and fever~~
	~~#*NOT indicated for [[E. coli]] O157:H7~~
	~~#*NOT routinely indicated for salmonella~~
	~~#**Exceptions: SCD, [[IBD]], <3mo~~
	~~#*[[Azithromycin]] (able to tolerate PO)~~
	~~#*OR [[ciprofloxacin]]~~
	~~#*OR [[TMP-SMX]]~~
	~~#*[[Ceftriaxone]] (parenteral)~~
	==Disposition==		==Disposition==
	*Most can be discharged		*Most can be discharged

ClaireLewis: Created page with "''See Acute gastroenteritis (peds) for pediatric patients'' ==Background== Most common cause of acute gastroenteritis (AGE) Viral gastroenteritis usually lasts <7d *Do N..."

2016-08-10T19:03:08Z

Created page with "''See Acute gastroenteritis (peds) for pediatric patients'' ==Background== *Most common cause of acute gastroenteritis (AGE) *Viral gastroenteritis usually lasts <7d *Do N..."

New page

''See [[Acute gastroenteritis (peds)]] for pediatric patients''
==Background==
*Most common cause of acute gastroenteritis (AGE)
*Viral gastroenteritis usually lasts <7d
*Do NOT diagnosis isolated vomiting as AGE!

==Clinical Features==
*[[Vomiting]]
*Watery, non-bloody [[diarrhea]]
*Crampy/diffuse [[abdominal pain]]
*Features that suggest non-viral etiology:
**Bloody diarrhea ([[Salmonella]], [[shigella]])
**RLQ pain ([[Yersina]], [[Entamoeba]])
**Recent antibiotics + copious, foul diarrhea ([[C. Diff]])
**Consumption of previously cooked/reheated foods (especially meats, mayonaise, etc.)
**Explosive, "rice-water" diarrhea ([[cholera]])
**bloating, really nasty flatus/stools ([[giardia]])

==Differential Diagnosis==
{{Abdominal Pain DDX Diffuse}}
{{Nausea and vomiting DDX}}
==Evaluation==
*Assess hydration status
**Cap refill, skin turgor, respiratory rate
*Consider stool studies if:
**>10 stools in previous 24hr
**[[Traveler's diarrhea|Travel to high-risk country]]
**Fever
**Bloody stool
**Persistent diarrhea
==Management==
#Rehydration (PO preferred)
#*30mL(1oz)/kg/hr
#Antiemetic
#*[[Ondansetron]] 0.15mg/kg/dose IV/PO
#[[Antibiotics]]
#*Only consider in patients with invasive infection
#**[[Shigella]], [[campylobacter]], [[E. coli]], [[yersinia]], [[vibrio]]
#**Bloody stool with mucus and fever
#*NOT indicated for [[E. coli]] O157:H7
#*NOT routinely indicated for salmonella
#**Exceptions: SCD, [[IBD]], <3mo
#*[[Azithromycin]] (able to tolerate PO)
#*OR [[ciprofloxacin]]
#*OR [[TMP-SMX]]
#*[[Ceftriaxone]] (parenteral)
==Disposition==
*Most can be discharged
*Admit
**Unable to tolerate PO
**Hemodynamic instability
**Significant comorbidities
==See Also==
*[[Acute gastroenteritis]]
*[[Nausea and Vomiting]]
*[[Acute gastroenteritis (peds)]]
*[[Dehydration]]
*[[Acute diarrhea]]
==External Links==

==References==
<references/>