constipation and abdominal x-ray would be indicated. Diagnostic tests should be ordered in order to either rule out a disease process or confirm one and the risks and benefits should always be evaluated. References: Berkowitz, C. D., & American Academy of Pediatrics. (2014). Berkowitz’s Pediatrics : A Primary Care Approach (Vol. Fifth edition). Elk Grove Village, Ill: American Academy of Pediatrics. Retrieved from - com.southuniversity.libproxy.edmc.edu/login.aspx? direct=true&db=nlebk&AN=828780&site=eds-live Burns, C. E., Starr, N. B., Dunn, A. M., Blosser, C. G., Brady, M. A., & Garzon, D. L. (2017).Pediatric Primary Care (6th ed.). St. Louis, MO: Elsevier. [South University]. Retrieved from
Chiocca, E. M. (2015).Advanced Pediatric Assessment (2nd ed.). New York: Springer Publishing Company. [South University]. Retrieved fromAssessment of elimination patterns is very specific to the child’s age, developmental level, and diet.Reports of blood in the stool or rectal bleeding must also be investigated; the color and presentation of the blood can provide clues to the etiology. For example, streaks of bright red blood on the outside of a hard, formed stool suggest an anal fissure. Currant jelly stools accompanied by intense abdominal pain in an infant suggest intussusception. A history of diarrhea, including the onset, frequency of loose stools, and the parent or child’s definition of diarrhea, must be noted; in some instances, soft stools that occur as a result of increased dietary fiber are mistaken for diarrheaGoolsby, M. J., & Grubbs, L. (2014).Advanced Assessment: Interpreting Findings and Formulating Differential Diagnoses. FA Davis. [South University]. Retrieved fromSymptoms vary according to the cause of the diarrhea. A thorough symptom analysis should identify the time of onset, whether onset was sudden or gradual, and the duration of the symptoms. Determine severity according to whether the diarrhea is intermittent or persistent and according to the number of stools per day. Inquire as to associated symptoms, such as abdominal pain, fever, nausea, or vomiting, as well as whether there is any relation to meals. Ask the patientto describe the color of the stool, looking for reports of dark or bloody stools; consistency (i.e.,
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- Summer '17
- Gastroenterology, Gastroenteritis, Ulcerative colitis