Differential Diagnosis: Infection, Malabsorption, Intussusception, Overfeeding
- For Infection:
a. Do you have to use more diapers than usual?
b. Have you noticed any dryness of mouth or tongue?
c. Have you noticed any dryness of skin?
d. Have you noticed sunken eyes? - For Malabsorption:
a. Have you noticed any abnormal smell from stools? - For Intussception:
a. Have you noticed crying spells or episodes relieved by bending? - For Overfeeding:
a. How much and how frequently do you feed the child?
CBC with differential, S/E (K+)/Stool examination
Counseling
Mr./Ms.___, your child has diarrhea, we need to find out the cause of the diarrhea, I
need to see him/her in order to perform a physical exam and some lab tests, so please I
will ask you to bring him/her to my office today, so we can take care of him/her.“In the
meanwhile you can do some measures that will help your son . “First stop giving him/
her cow milk.“Do you know what an oral rehydration solution is? “Give your child as
much of the liquid as he/she requests in small amounts, frequently and continue feeding
him/her the usually food. If he/she vomits wait 10 minutes and give the solution again.