Acute Gastroenteritis
January 26th 2012 09:22
AE, 33 years old, female came in with complaints of 6 to 8 episodes of vomiting of previously ingested food and watery lined stool after eating shellfish. No fever was noted. She was conscious, coherent, not in distress, and seemingly with no signs of dehydration.
A history of vomiting and diarrhea can obviously tell us that her problem is gastrointestinal. But which among the gastrointestinal conditions are we going to consider? This question is very important since we have to establish a correct diagnosis so that we can institute a correct and cost-efficient management. Physical examination to complement our history is therefore warranted. Pertinent physical findings are the following: blood pressure of 100/60 mmHg, heart rate of 72 bpm, respiratory rate of 20 cpm, and temperature of 36.8 deg Celsius. Abdominal examination revealed flat, soft abdomen with direct tenderness on the epigastric area with hyperactive bowel sounds.
Our hospitals are excellent and clean here in Manila.
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