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  • Gastroenteritis

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    CHIEF COMPLAINT Gastroenteritis 2. HPI 3. ROS 4. SYMPTOMS Mild fever Vomiting Nonbloody, watery diarrhea 5. 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.

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    CHIEF COMPLAINT Gastroenteritis 2. HPI 3. ROS 4. SYMPTOMS Mild fever Vomiting Nonbloody, watery diarrhea 5. 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.

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    203 views2 pages

    Gastroenteritis

    Uploaded by

    drnareshkumar3281
    CHIEF COMPLAINT Gastroenteritis 2. HPI 3. ROS 4. SYMPTOMS Mild fever Vomiting Nonbloody, watery diarrhea 5. 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.

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    of 2

    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 electrolytes
    •Serum urea
    •Serum creatinine
    •Serum 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

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