6. Acute Gastroenteritis

Case presentation Presented by: Nor Aini binti Mohamad Mohd Izaan Hassan bin Haron Adam Safin bin Abdul Mutti

Demografic detail ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Presenting Complaint ,[object Object]

History of presenting complaint ,[object Object]

[object Object],[object Object]

Systemic Review Impression : No abnormal finding except for GIT part System Complaints CVS No pedal edema, no cyanosis Resp No SOB, no cough, no hemoptysis Genitourinary Normal urine output, no hematuria CNS No LOC, no drowsiness, no blurring vision, no altered speech, no headache ENT No runny nose, no ear discharge, no feeding difficulty, no dysphagia MSK No abnormal movement, no joint swelling, no joint pain Endocrine No tremor, no heat intolerance Hematological No gum bleeding or epistaxis

Past medical/surgical history ,[object Object]

Drug history & Allergy ,[object Object],[object Object]

Birth history ,[object Object],[object Object],[object Object]

Feeding history ,[object Object]

Immunization history ,[object Object],[object Object]

Developmental history ,[object Object],[object Object],[object Object],[object Object],Impression : Development milestones is corresponding to his chronological age

Family history ,[object Object]

History of contact ,[object Object],[object Object]

Social and environmental history ,[object Object],[object Object]

Effect of illness to the pt & family ,[object Object]

Mohd Izaan Hassan bin Haron 2008402242

[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],MSR, a 4 years and 10 months old Indonesian boy was admitted to Sg Buloh Hospital on 18 th December 2010 at 11.00 pm due to severe diarrhea 2 days prior to admission associated with fever and vomiting on the day of admisssion. On physical examination, there was no abnormality detected.

Provisional diagnosis Acute gastroenteritis Point to support – diarrhea vomiting fever

[object Object],Points to support Points to against Small bowel obstruction (intussusception) ,[object Object],[object Object],-The vomitous was not bile-stained -The abdominal pain was not severe - No blood stained stool Acute appendicitis -vomiting -abdominal pain Usually not associated with diarrhea

Differential dx ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],Result Normal range Remarks WBC 12.84 4.5-13.5 x 10*9/L Normal Hb 12.2 11.5-14.5 g/dL Normal Plt 432 150-4– x 10*3 uL normal Haematocrit 37.1 37-45% Normal

[object Object],[object Object],Result Normal range Remarks Urea 3.5 1.7-6.4 mmol/L Normal Sodium 138 135-150 mmol/L Normal Potassium 3.80 3.5-5 mmol/L Normal Chloride 102.0 98.0-107.0 mmol/L Normal Creatinine 52.6 44-88 mmol/L Normal

Adam Safin bin Abdul Mutti 2008402544

Definition ,[object Object],[object Object],[object Object]

Continue… ,[object Object],[object Object],[object Object],[object Object],[object Object]

Possible routes of transmission ,[object Object],[object Object],[object Object],[object Object]

What organism cause AGE??? Acute Gastroenteritis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Clinical Manifestation ,[object Object],[object Object],[object Object],[object Object],[object Object]

Indication of admission. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

What investigation should be done??? ,[object Object],[object Object],[object Object],[object Object],[object Object]

Sign and symptom of dehydration. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Sunken fontanelle Eyes sunken and tearless Reduced skin turgor

Management. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Continue… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Continue… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Feeding after AGE??? ,[object Object],[object Object]

Issue??? ,[object Object],[object Object]

Type of dehydration Dehydration. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

6. Acute Gastroenteritis

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6. Acute Gastroenteritis