Common Pediatric Illnesses

Common Pediatric Illnesses

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Common Pediatric Illnesses

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Common Pediatric Illnesses

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Which Essential Questions will you ask a Pediatric Patient or his or her Caregiver when the Presenting Complaint is bloody diarrhea?

Dealing with pediatric patients can be challenging as some of them have not yet developed the essential communication skills to explain their situation. Bloody diarrhea is a common occurrence in many children which might be influenced by many factors, and the best way to find out the details is by questioning the health care providers. Some of the questions to ask are the amount of blood in the stool as it might determine the extent of the illness. Is there any sign of an anal fissure which might be contributing to the blood? Is the child feeling any kinds of pain in the toilet? The pediatrician should also find out the possibilities of inflammatory bowel infections in the patient (Dinleyici, 2009). These queries will change depending on the ages of the patients as there are different causes and implications of a bloody stool for different children. The infants below one year of age might experience the situation due to breast milk or cow milk colitis. For children above one year of age, the condition can occur because of ulcerative and Crohn’s colitis. Their ages can, therefore, be a sign of a severe disease and it is, thus, essential to put into consideration. A historical finding about the need for a clinical test is that although most instances of bloody stool might be regular for pediatric patients, some of them require diagnosis as they might be a severe detection diseases (Dinleyici, 2009). Bloody stools for older children who are above two years of age might be the signs of Bacterial gastroenteritis or even Crohn’s disease. The most basic diagnostic studies to take are intestinal infections because they might be the contributing factors to the condition. Examples of expected diagnosis in this case might be bacterial gastroenteritis, crohon’s disease and ulcerative infection.
Gastroenteritis diagnosis can vary from food allergies and poisoning, cholera and Ulcerative colitis which are more likely to face the young children. Vomiting cases are caused by many factors depending on the ages of the patients involved. Sometimes it might be due to stomach upsets and food poisoning, but some others are severe (NCCWCH, 2009). For infants, it might be difficult to establish the real cause of vomiting, but most of the times it is due to infections in the intestines. The situation might be indicated by higher temperatures of up to 38º C or even higher which necessitates the need for a doctor examination. The case differs for older children whereby vomiting is mainly because of infectious gastroenteritis. They occur for a short while after taking meals which might contain bacterial toxins. In adolescents, the situation might be similar to that of children, which are mostly infections. It might, however, differ in the cases of pregnancy, gastric ulcers, an overdose of substances and drugs, pancreatitis and much more for adolescents (NCCWCH, 2009). According to clinical findings, a diagnosis is crucial in the cases of gastroenteritis in children as it might be a sign of severe infections of the intestines which can lead to health complications (NCCWCH, 2009). The primary diagnostic study should be of the food intake that the child has taken in the past days to examine the presence of toxins. Poison and allergies in diet contribute to Gastroenteritis and should, therefore, be taken seriously. Since some of these patients are too young to realize the extreme of their pain, parents should always investigate the situation and seek medical advice when required.
Dinleyici, E. C., Eren, M., Yargic, Z. A., Dogan, N., & Vandenplas, Y. (2009). Clinical efficacy of Saccharomyces boulardii and metronidazole compared to metronidazole alone in children with acute bloody diarrhea caused by amebiasis: a prospective, randomized, open label study. The American journal of tropical medicine and hygiene, 80(6), 953-955.
National Collaborating Centre for Women’s and Children’s Health;UK. (NCCWCH) (2009). Diarrhoea and vomiting caused by gastroenteritis: diagnosis, assessment and management in children younger than 5 years.

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