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UNFOLDING Reasoning Case Study: Pediatric Gastroenteritis; Harper Anderson is a 5-month-old female *answered* Latest Summer 2021. $11.39   Add to cart

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UNFOLDING Reasoning Case Study: Pediatric Gastroenteritis; Harper Anderson is a 5-month-old female *answered* Latest Summer 2021.

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UNFOLDING Reasoning Case Study: Pediatric Gastroenteritis; Harper Anderson is a 5-month-old female *answered* Latest Summer 2021.

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  • April 3, 2024
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Pediatric Gastroenteritis & Dehydration




Pediatric Gastroenteritis

& Dehydration






, Pediatric Gastroenteritis & Dehydration




1. In the U.S., diarrhea accounts for ~20% of acute medical visits for children

< 2 years old: 220,000 hospitalized per year

300 deaths per year

Deaths occur more commonly in children coming from lower socioeconomic

classes 2. Common Etiologies of Diarrhea: Osmotic, secretory, altered motility,

inflammatory/infectious

In reality, both osmotic and secretory components are present in many cases of

diarrhea.

3. Acute Gastroenteritis (AGE): A syndrome of inflammatory / secretory

diarrhea (and typically vomiting)

Diarrhea may contain blood or mucous

4. Acute AGE: Comes on suddenly

Diarrhea resolves within 2 weeks




, Pediatric Gastroenteritis & Dehydration




5. Viral Etiology of AGE: Rotavirus, Norwalk virus, Adenovirus, Hepatitis A

(TRAVELER'S DIARRHEA)

There is currently a Norovirus outbreak implicated in thousands of cases of AGE

across the US

Rotavirus is the most frequently identified pathogen in children requiring

hospitalization (usually during winter months)

6. Bacterial Etiology of AGE: Campylobacter, E. Coli, Salmonella, Shigella,

Aeromonas

Shigella can cause seizures in infants and toddlers with AGE

Most bacterial sources elaborate enterotoxins - increase water/electolyte flux

across enterocytes

7. Parasite Etiology of AGE: Giardia, Cryptosporidium, Entamoeba

8. Viral AGE: Typically short incubation period: 1-2 days

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