Red Flags in a Child with Diarrhea

Feb 17, 2018 • Mark Morgan

categories: Pediatrics Infectious Disease

Red Flags in a Child with Diarrhea
Caregiver report of decreased tearing, sunken eyes, decreased urine output, or dry mucous membranes Fever greater than or equal to 100.4 degrees F (38 degrees C) in infants younger than three months Fever greater than or equal to 102.2 degrees F (39 degrees C) in children three to 36 months of age Frequent and substantial episodes of diarrhea History of premature birth, chronic medical conditions, or an accompanying illness Mental status changes (e.g., apathy, lethargy, irritability) Persistent vomiting Poor response to oral rehydration therapy or inability of the caregiver to give adequate therapy Visible blood in the stool Young age (younger than six months) or low body weight (less than 17 lb, 10 oz or 8 kg)
Number of Red Flags --> numberscore1=(Q1)
Recommendation --> are they a Super User?score2=(Q1);score2>0?'Urgent evaluation by physician is recommended':'Efforts to maintain hydration are recommended'
display/hide references References
#1 King CK, Glass R, Bresee JS, Duggan C; Centers for Disease Control and Prevention. Managing acute gastroenteritis among children: oral rehydration, maintenance, and nutritional therapy. MMWR Recomm Rep. 2003 Nov 21;52(RR-16):1-16.

Red Flags in a Child with Diarrhea

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