Differential for Gastroenteritis-like syndrome in Infants and Children

Acute Diarrhoea and Vomiting in infants and children (may warrant an AXR)

Enteric infection

  • Rotavirus
  • other viruses
  • bacterial – Salmonella, Shigella, E. coli. C. jejuni
  • protozoal – Giardia lambia, E. histolytica, Cryptosporidium
  • food poisoning – Staphylococcal toxin

Systemic infection

  • Urinary Tract Infection (UTI)
  • pneumonia
  • septicaemia (incl. meningitis)

Surgical conditions

  • appendicitis
  • intussusception → Barium or gallium enema
  • partial bowel obstruction → Ba meal
  • Hirschsprung’s disease → Ba enema
  • short gut syndrome

Other systemic disorders


Neonatal acute diarrhoea

  • Surgical
    • necrotising enterocolitis (pneumatosis intestinalis)
    • Hirschsprung’s disease
    • malrotation / fixation

Medical

    • gastroenteritis
    • carbohydrate intolerance
    • congenital adrenal hyperplasia (CAH)

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