Gastroenteritis

GASTROENTERITIS, VIRAL 1. CHIEF COMPLAINT •Gastroenteritis 2. HPI 3. ROS 4. SYMPTOMS •Mild fever •Vomiting •Nonbloody, watery diarrhea 5. HISTORY A. FAMILY HISTORY B. SOCIAL HISTORY C. PAST MEDICAL HISTORY D. SURGICAL HISTORY E. CHRONIC CONDITIONS 6. ALLERGIES 7. PHYSICAL EXAMINATION •Temperature slightly elevated. •Tachycardia, thready pulse, and hypotension suggest severe dehydration. •Dry mouth, no tears, skin tenting, dry skin, and capillary refill are all signs of dehydration. •The abdominal examination may demonstrate mild tenderness. 8. SPECIFIC DATA LIKE GADING ETC 9. TESTS TO BE ORDERED •CBP •Stool studies

•Serum •Serum •Serum •Serum

electrolytes urea creatinine amylase •CBC count •X-ray abdomen •USG 10.ASSESSMENT /PLAN •Oral rehydration therapy •Intravenous therapy for shock, severe dehydration, and decreased consciousness. 11.EDUCATION •Wash hands properly •Don’t eat raw or uncooked food •Drinking water can also be contaminated by sewage and be a source of spread of these viruses. 12.MEDICATION •Metronidazole •Vancomycin •Fluoroquinolone •Loperamide •Bismuth subsalicylate (BSS) 13.FOLLOW UP