History and physical exam is taken.
Concentrate on exposures,
severity of illness and potential of infecting others
Ingestion of contanminated food
and water (e. Coli.) Direct Is there a suspicion for a Discontinue the
invasion of the bowel wall and noninfectious cause? offending agent
endotoxins released
Increase peristaltic
movement
Intestinal colonization followed by
stimulation and destruction of Attempted defecation (Tenesmus)
mucosal lining of the bowel wall Mild diarrhea (2-3 blood
stained stools)
Fluid and electrolyte
imbalance
Digestive and absorptive
malfunction with abdominal pain
caused by acute inflammation Increased protein in the
lumen
Excessive gas Large bowel is overwhelmed and
DEATH unable to reabsorb the lost fluids
formation
Gastrointestinal ACUTE Intense diarrhea (>10 times
GASTROENTERITIS blood- stained watery stool)
distention
Patient experiences loss of appetite
Hypovolemic shock Serious fluid volume deficit
together with nausea and vomiting