Red Flags in a Child with Diarrhea
[checklist name="Q1" value="Caregiver report of decreased tearing, sunken eyes, decreased urine output, or dry mucous membranes=1|Fever greater than or equal to 100.4 degrees F (38 degrees C) in infants younger than three months=1|Fever greater than or equal to 102.2 degrees F (39 degrees C) in children three to 36 months of age=1|Frequent and substantial episodes of diarrhea=1|History of premature birth, chronic medical conditions, or an accompanying illness=1|Mental status changes (e.g., apathy, lethargy, irritability)=1|Persistent vomiting=1|Poor response to oral rehydration therapy or inability of the caregiver to give adequate therapy=1|Visible blood in the stool=1|Young age (younger than six months) or low body weight (less than 17 lb, 10 oz or 8 kg)=1"]
Number of Red Flags --> [calc value="score1=(Q1)" memo="number"]
Recommendation --> [calc value="score2=(Q1);score2>0?'Urgent evaluation by physician is recommended':'Efforts to maintain hydration are recommended'" memo="are they a Super User?"]
[checkbox memo="display/hide references" name="footnotes" value=""][conditional field="footnotes" condition="(footnotes).isNot('')"] References
[link url="https://www.ncbi.nlm.nih.gov/pubmed/14627948" memo="#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. [/conditional]
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