HISTORY:
Vomiting and diarrhea for
Vomiting episodes: times ,
Diarrhea episodes: times ,
Worsening factors:
Treatments tried: ,
, , ,
, over ,
, up to °, over
Other elements:
EXAM:
General appearance:
Vital signs: , BP , HR , RR , SpO2 %, Temp °
Neck:
Heart: ,
Lungs: ,
Abdomen: , , ,
Extremities: , , cap refill , pulses ,
ASSESSMENT:
DDx:
PLAN:
- Blood work: , , , , ,
- Stools: , ,
- CT scan of the abdomen
- Encourage oral hydration
- Oral rehydration therapy
- IV fluids
-
-
- Avoid dairy and fatty foods
- Follow-up in
- Return if symptoms worsen or if abdominal pain, fever, or blood in stools develop