Vomiting
Outbreaks in daycares, long term care facilities, homes; peaks in 12-48 hours; fever, diarrhea, myalgia, mild pain, abrupt vomiting
Acute viral gastroenteritis
non-bloody, watery loose stools, explosive, vomiting, low grade fever
Acute Viral Gastroenteritis
poor food handling technique, contact with ill family member, peaks early and resolves in 1-7 days
Norovirus, adenovirus, rotavirus
high yield in 6-10 year olds, Acute watery diarrhea; mucus and blood may be present, may have URI, Yellow or green stool may have undigested food
Shigella bacteria
Post GI surgery, frequent NSAID/caffiene/etoh, obesity, H. Pylori, postprandial or nocturnal vomiting, esophageal burning, heartburn, wheezing, coughing,
Gastritis/peptic ulcer/GERD
young and middle age woment most common, intermittent diarrhea, chronic (sx for like 3 months), Loose, watery diarrhea. Abd pain LLQ but can occur anywhere. Rectal urgency, distention. Abd tender on palpation.
IBS
females of childbearing age, before week 22, dehydration, weight loss, vomiting before breakfast, associated with hyperthyroidism, DM, psychiatric
Pregnancy/hyperemesis
!! Red Flag !!
h/o hospitalization, antibiotic use, commonly >65 YO;
Mild, watery diarrhea, crampy abdominal pain, low fever, distinctive foul sweet manure like smell
C Diff
!! RED FLAG !!
abdominal distention, tympany, dehydration, fever, abdominal pain, tachycardia, hypotension, poor oral intake
Small bowel obstruction
!! RED FLAG !!
<15 YO first onset of DM1, African American, obesity, low income, housing or food insecure
Altered Mental Status, kussmauls, nausea, vomiting, abdominal pain, polyuria, polydypsia
Diabetic Ketoacidosis. (DKA)