Paediatrics - Queensland Health - Queensland Government
Paediatrics - Queensland Health - Queensland Government
Paediatrics - Queensland Health - Queensland Government
You also want an ePaper? Increase the reach of your titles
YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.
Paediatric presentation<br />
558<br />
Controlled copy V1.0<br />
Child with chronic diarrhoea<br />
Diarrhoea every day for at least 10 days or recurrent episodes of loose stools over longer<br />
periods requires investigation. Consider the following causes: parasites (strongyloides,<br />
cryptosporidium, giardiasis), malabsorption (lactose intolerance, coeliac disease),<br />
inflammatory conditions (crohns disease, ulcerative colitis), other infections e.g. UTI,<br />
pneumonia<br />
Perianal itch<br />
Sighting of worms<br />
in faeces<br />
See<br />
Intestinal worms<br />
Clinical assessment performed<br />
Significant features of assessment<br />
unclear or you are unsure of cause<br />
No<br />
Well hydrated, normal growth and<br />
development, adequate diet<br />
Obtain faeces sample for MC/S and OCP<br />
Is test positive?<br />
No<br />
Test for lactose intolerance<br />
See Lactose intolerance<br />
Is test positive?<br />
No<br />
Consider significant features<br />
of asssessment<br />
Foul smelling,<br />
watery diarrhoea<br />
Flatulence<br />
Nausea<br />
See<br />
Giardiasis<br />
Yes<br />
Yes<br />
Yes<br />
Consult MO<br />
Treat if positive<br />
for giardia or<br />
intestinal<br />
worms.<br />
Consult MO if<br />
other +ve result<br />
See Lactose<br />
intolerance<br />
Bloody diarrhoea<br />
Mucus in diarrhoea<br />
Abdominal pain<br />
Consult<br />
MO<br />
Primary Clinical Care Manual 2011
Change language