Diarrhoea Flashcards
1
Q
Things to check
A
Duration ( more than 7 days worry) Severity (number of stools in the last 24 hours) Temperature Urine output Food related Foreign travel or visiting a farm Any medications (recent) Taking PPIs Hosptial admission in last 8/52 Been constipated previously Blood in stool Antibiotics recent Anthing that helps Fluid intake
2
Q
Red flags
A
Preceding constipation Blood in stool or vomitting Recent hospital admission Antibiotic use in last 8 weeks Previous bowel disease Immunocompromised Pregnancy
3
Q
Examination
A
Temp Pulse Blood pressure Dehydration signs - tongue, skin, sunken eyes, lethargy Abdo examination Rectal exam if previous constipation
4
Q
Management
A
Self-care advice to include
Sip fluids, eat when they can, No work of school until symptom-free for 48 hours
Normally resolves in 5-7 days
No orange juice of fizzy drinks
Good toilet hygiene and wash clothes separately
Advise on medications
Prescribe dioralyte for 5 days
