Generally gastroenteritis in diagnosed based on assessment findings and does

Generally gastroenteritis in diagnosed based on

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Generally, gastroenteritis in diagnosed based on assessment findings and does not require testing or further evaluation unless symptoms worsen or are prolonged. (Alexandraki & Smetana, 2019). Stool studies are not usually necessary with this illness. (Alexandraki & Smetana, 2019). Unless there is concern for dehydration, it is not necessary to obtain serum electrolytes. (Alexandraki & Smetana, 2019). WBC may or may not be elevated with gastroenteritis and is not reliable to determine if viral or bacterial causation. (Alexandraki & Smetana, 2019). Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least three different references from current evidence-based literature . Yes, I agree with the assessment as gastroenteritis in irritation of the lining of the stomach caused by a virus, bacteria or parasites. It is one of the most common illnesses in the U.S., usually caused by norovirus. (Alexandraki & Smetana, 2019). Symptoms include stomachache, or cramps, nauseas, vomiting or diarrhea, and low grade fever. (Alexandraki & Smetana, 2019). Patient is currently expressing abdominal pain in the LLQ, diarrhea, nausea after eating and has a low grade fever of 99.8. Patient’s abdomen was also soft upon palpation which is congruent with gastroenteritis. I accept the diagnosis of gastroenteritis based on the assessment findings and reported symptoms by patient.
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5 One possible differential diagnosis could be a GI bleed as patient has a previous history of this illness. Patients with acute gastrointestinal bleeding generally present with hematemesis or melena. (Saltzman, J. (2019). However, patient does not report symptoms of black or tarry stools, blood in stools, or vomiting bright red blood. (Saltzman, J. (2019). Another differential diagnosis to consider would be Irritable bowel disease (IBS). (Alexandraki & Smetana, 2019). IBS is characterized by abdominal pain and cramping, diarrhea, constipation, or alternating between the two. Gas and bloating and food intolerance are also associated with this disease. Often reported with diarrhea related to IBS are loose and watery stools which may contain mucus. Due to patient reported symptoms and assessment findings, this diagnosis does not match.
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