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A 12-year-old boy presents with a 1-week history of sudden-onset watery diarrhea

12 years old | Male

Vignette:

A 12-year-old boy presents with a 1-week history of sudden-onset watery diarrhea while visiting relatives in Dhaka, Bangladesh. On his return to the US, he developed abdominal cramps, fever, and bloody diarrhea. He is febrile, with a temperature of 101.2°F (38.5°C). The mucous membranes are dry, and there is reduced skin turgor; his pulse is 100 beats/minute, and BP is 110/70 mmHg with a 10 mmHg postural drop.

Summary:

1-week | sudden-onset | watery diarrhea | travel | abdominal cramps | fever | bloody diarrhea | mucous membranes are dry | reduced skin turgor | low bp

Dx:

Bacterial gastroenteritis gastroenteritis Listerial Gastroenteritis Viral Gastroenteritis

Ref:

https://online.epocrates.com/diseases/1174/Bacterial-enteritis-Shigella-infection

Rank

Disease

Weight

1 Travelers diarrhea 419.0
2 Foodborne E coli infection 413.0
3 Listerial gastroenteritis 399.0
4 Bacterial gastroenteritis 386.0
5 Non-cholera Vibrio infections 371.0
6 Intestinal Entamoeba histolytica amebiasis 363.0
7 Spontaneous bacterial peritonitis 361.0
8 Salmonella infection 358.0
9 Toxic Megacolon 352.0
10 Amebic Liver Abscess 350.0
11 mucosal Eosinophilic gastroenteritis 324.0
12 Cholera 312.0
13 Muscle Layer Eosinophilic gastroenteritis 310.0
14 subserosal eosinophilic gastroenteritis 310.0
15 Tuberculous Peritonitis 301.0
16 Viral Gastroenteritis 301.0
17 Gallstone pancreatitis 300.0
18 Gastroenteritis 300.0
19 Intestinal Obstruction 289.0
20 Anaphylaxis 279.0
21 Acute Pancreatitis 276.0
22 Eosinophilic gastroenteritis 275.0
23 Giardiasis 270.0
24 Bacterial pharyngitis 264.0
25 Acute peritonitis 259.0
26 Klebsiella pneumoniae liver abscess 254.0
27 Addison Disease 252.0
28 Emphysematous cholecystitis 248.0
29 Acute Cholecystitis 248.0
30 Food poisoning 248.0
31 Mesenteric ischemia 245.0
32 Diabetic Ketoacidosis 242.0
33 Short bowel syndrome 241.0
34 Type 2 Diabetes mellitus 240.0
35 Pyogenic Liver Abscess 240.0
36 Malaria 235.0
37 Intussusception 231.0
38 chronic acalculous cholecystitis 230.0
39 Acute Cholangitis 230.0
40 pancreatic cancer 229.0
41 Peritoneal dialysis associated peritonitis 228.0
42 Acute perforated appendicitis 223.0
43 Brucellosis 222.0
44 Anthrax 220.0
45 Aortic Dissection 218.0
46 Primary sclerosing cholangitis 215.0
47 Shigellosis 213.0
48 Adrenal crisis 213.0
49 Rocky Mountain spotted fever 208.0
50 Kawasaki disease 204.0
51 Ulcerative Colitis 203.0
52 Hemolytic uremic syndrome 201.0
53 Campylobacter infection 201.0
54 Biliary cirrhosis 198.0
55 Primary biliary cirrhosis 198.0
56 Graves Disease 198.0
57 Chronic bacterial prostatitis 190.0
58 Crohn Disease 188.0
59 Secondary Peritonitis 187.0
60 Acute bacterial meningitis in children 184.0
61 Type 1 Diabetes mellitus 183.0
62 Ruptured Tuboovarian abscess 183.0
63 Hyperosmolar Hyperglycemic state 183.0
64 Epiploic appendagitis 181.0
65 Alcoholic Fatty Liver 180.0
66 Acute pyelonephritis in adults 177.0
67 Acute pelvic inflammatory disease 176.0
68 Ovarian Hyperstimulation Syndrome 176.0
69 Acute viral meningitis 176.0
70 Acalculous Cholecystitis 175.0
71 Acute bacterial meningitis in adults 171.0
72 Alcoholic hepatitis 170.0
73 Pneumonia 170.0
74 Churg-Strauss Syndrome 170.0
75 Sarcoidosis 169.0
76 Acute pericarditis 167.0
77 Endometriosis 167.0
78 Autosomal Dominant Polycystic Kidney Disease 166.0
79 Systemic lupus erythematosus 164.0
80 Hereditary Angioedema 162.0
81 Intra-abdominal abscess 162.0
82 Eclampsia 160.0
83 Sialadenitis 160.0
84 Intraperitoneal bleeding 159.0
85 Chronic Renal vein thrombosis 157.0
86 Irritable Bowel Syndrome 155.0
87 Gastrointestinal Hemorrhage 154.0
88 Lower gastrointestinal hemorrhage 154.0
89 Upper gastrointestinal hemorrhage 154.0
90 Liver Cirrhosis 153.0
91 Alcoholic Liver Disease 150.0
92 Intestinal Pseudo Obstruction 149.0
93 Clostridium difficile infection 146.0
94 Foreign body ingestion 146.0
95 Thrombotic thrombocytopenic purpura 145.0
96 Psoas Abscess 144.0
97 Diverticulitis 143.0
98 Acute otitis media 142.0
99 Common cutaneous drug reactions 141.0
100 Hepatocellular carcinoma 140.0
101 Intestinal malrotation 137.0
102 Choledocholithiasis 136.0
103 Sigmoid volvulus 132.0
104 Splenic Infarction 131.0
105 Ruptured ectopic pregnancy 130.0
106 Polyarteritis nodosa 129.0
107 Periorbital and orbital cellulitis 128.0
108 Duodenal Ulcer 124.0
109 Gastric Ulcer 124.0
110 Autoimmune hepatitis 124.0
111 Alcoholic Liver Cirrhosis 124.0
112 Pheochromocytoma 124.0
113 Systemic vasculitis 123.0
114 Ovarian and fallopian tube torsion 122.0
115 Lactose intolerance 121.0
116 Ruptured ovarian cyst 120.0
117 Acute Appendicitis 119.0
118 Ischemic stroke 119.0
119 Influenza 118.0
120 COPD Exacerbation 118.0
121 Pancreatic Pseudocyst 117.0
122 COVID19 117.0
123 Choledochal Cyst 116.0
124 Diabetic Amyotrophy 116.0
125 Endometritis 116.0
126 Sunburn 116.0
127 Colorectal cancer 115.0
128 Budd Chiari Syndrome 115.0
129 Ankylosing spondylitis 113.0
130 Disseminated intravascular coagulation 113.0
131 Kidney stones 112.0
132 Gout 112.0
133 Acute bacterial meningitis in neonates 112.0
134 Tuboovarian abscess 112.0
135 Inflammatory Bowel Diseases 109.0
136 Acute Clonorchiasis 109.0
137 Stevens-Johnson syndrome 109.0
138 Gastric Outlet Obstruction 109.0
139 Peritonitis 109.0
140 Meckel diverticulum 108.0
141 Ileus 107.0
142 Ascites 107.0
143 Extraintestinal Entamoeba histolytica amebiasis 107.0
144 Gastroparesis 106.0
145 Diabetic Neuropathy 106.0
146 Tetanus 106.0
147 Acute Liver Failure 105.0
148 Cholangiocarcinoma 104.0
149 Candidal intertrigo 104.0
150 Renal and perinephric abscess 104.0
151 Acute peptic ulcer 103.0
152 Croup 103.0
153 Granulomatosis with polyangiitis 103.0
154 Insect bites and stings 103.0
155 Celiac Disease 102.0
156 Hiatus hernia 102.0
157 Amebiasis 101.0
158 Pelvic inflammatory disease 100.0
159 Non-ST-elevation myocardial infarction 100.0
160 Hypertriglyceridemia 99.0
161 Acute Lymphoblastic leukemia in children 99.0
162 Chronic prostatitis 99.0
163 Hyperthyroidism 97.0
164 Aseptic meningitis 97.0
165 Biliary cyst 97.0
166 Acute intermittent porphyria 96.0
167 Zollinger-Ellison Syndrome 95.0
168 Hypercalcemia 95.0
169 Liver Abscess 95.0
170 Ovarian Cancer 95.0
171 Familial Mediterranean fever 95.0
172 Empyema 94.0
173 Anemia of chronic disease 94.0
174 Esophagitis 93.0
175 biliary colic 93.0
176 Systemic sclerosis 92.0
177 Liver disease 92.0
178 Abetalipoproteinemia 91.0
179 Middle East respiratory syndrome 90.0
180 Hyperglycemia 90.0
181 Renal vein thrombosis 90.0
182 Acute Renal vein thrombosis 90.0
183 Non-small cell lung cancer 89.0
184 Cellulitis 88.0
185 Panic disorder in adults 87.0
186 Typhoid infection 85.0
187 Bell palsy 84.0
188 Adrenocortical carcinoma 84.0
189 Pulmonary Embolism 84.0
190 Rumination Syndrome 84.0
191 Gallbladder cancer 83.0
192 Splenic abscess 83.0
193 Diabetes Mellitus 83.0
194 Acute fatty liver of pregnancy 83.0
195 Abdominal compartment syndrome 83.0
196 Wilson disease 82.0
197 Hereditary hemochromatosis 82.0
198 Analgesic nephropathy 81.0
199 Acute Lymphocytic Leukemia in Adults 81.0
200 Vulvovaginal candidiasis 81.0
201 Chronic Hepatitis 80.0
202 Henoch-Schonlein purpura 80.0
203 Infectious mononucleosis 79.0
204 ST-elevation myocardial infarction 79.0
205 STI HIV Pharyngitis 79.0
206 Gallstones 78.0
207 Gastritis 78.0
208 Heparin-induced thrombocytopenia 78.0
209 Primary Myelofibrosis 78.0
210 Inguinal hernia 78.0
211 Chronic Myeloid Leukemia 78.0
212 Alopecia areata 76.0
213 Cataract 75.0
214 Cushing syndrome 75.0
215 Animal bites 75.0
216 Annular pancreas 74.0
217 Labyrinthitis 74.0
218 Gastric Volvulus 73.0
219 Chronic Pancreatitis 73.0
220 Stroke 72.0
221 Multiple endocrine neoplasia 2B 72.0
222 Common cold(children) 71.0
223 Acetaminophen overdose 71.0
224 Anal Fissure 71.0
225 Hypoparathyroidism 70.0
226 Ovarian Torsion 70.0
227 Chronic meningitis 70.0
228 Mirizzi Syndrome 70.0
229 Autoimmune Pancreatitis 69.0
230 Chronic fatigue syndrome 69.0
231 Amphetamine use disorder 69.0
232 Chronic pelvic pain in women 69.0
233 Angle Closure Glaucoma 68.0
234 Central retinal artery occlusion 68.0
235 Familial adenomatous polyposis syndrome 68.0
236 Hypogammaglobulinemia 67.0
237 Hyperparathyroidism 66.0
238 Torsion of appendix of testis 65.0
239 Acute atrial fibrillation 64.0
240 Guillain-Barre syndrome 63.0
241 Cryptococcosis 63.0
242 Exocrine pancreatic insufficiency 63.0
243 Chlamydia pneumoniae infection 61.0
244 Pyelonephritis 61.0
245 Hepatic Encephalopathy 60.0
246 Chronic Clonorchiasis 59.0
247 Autosomal Recessive Polycystic Kidney Disease 59.0
248 Peutz-Jeghers Syndrome 59.0
249 Acute Myeloid Leukemia in children 59.0
250 Mallory-Weiss syndrome 59.0
251 Oral candidiasis 59.0
252 Oropharyngeal and esophageal candidiasis 59.0
253 Candida Balanitis 59.0
254 Lung Cancer 58.0
255 Acute Mitral regurgitation 58.0
256 Peptic Ulcer 57.0
257 Hepatorenal Syndrome 57.0
258 Hypothyroidism 56.0
259 Amyloidosis 55.0
260 Leiomyomas 55.0
261 Acute disseminated encephalomyelitis 55.0
262 Graves ophthalmopathy 55.0
263 Dyspepsia 54.0
264 Gallbladder Dyskinesia 54.0
265 Multiple endocrine neoplasia 2A 54.0
266 Chronic heart failure 53.0
267 Musculoskeletal sprains and strains 53.0
268 Transient ischemic attack 53.0
269 Non-diabetic hypoglycemia 53.0
270 Acute Myeloid Leukemia in adults 53.0
271 Fungal meningitis 51.0
272 Psoriasis 51.0
273 Varicocele 50.0
274 Fibromyalgia 50.0
275 Osteomyelitis 50.0
276 Stable ischemic heart disease 50.0
277 Breast Cancer 50.0
278 Acute Bacterial Prostatitis 50.0
279 Splenic Rupture 50.0
280 Epilepsy 50.0
281 Pharyngitis 50.0
282 Viral pharyngitis 50.0
283 Genital herpes 50.0
284 Acute heart failure 50.0
285 Papilledema 50.0
286 Mitral Stenosis 49.0
287 Chronic pyelonephritis 49.0
288 Glomerulonephritis 49.0
289 Common cold(adults) 48.0
290 Charcot-Marie-Tooth Disease 48.0
291 Obstructive Sleep Apnea 48.0
292 Adrenal Suppression 48.0
293 Acute viral rhinosinusitis 48.0
294 Gastric cancer 47.0
295 biliary SOD 47.0
296 Hemorrhagic stroke 47.0
297 Chronic Kidney Diseases 47.0
298 Multiple Sclerosis 47.0
299 anterior ischemic optic neuropathy 46.0
300 Chronic Lymphocytic Leukemia 46.0
301 Pancreatitis 45.0
302 Cholangitis 45.0
303 Atypical pneumonia 44.0
304 Prostatitis 44.0
305 Achalasia 43.0
306 Nephrogenic diabetes insipidus 43.0
307 Central diabetes insipidus 43.0
308 Preeclampsia 42.0
309 Unstable angina 42.0
310 Carpal Tunnel Syndrome 41.0
311 Acute cervical spine trauma 40.0
312 Parkinson disease 40.0
313 Endometrial cancer 40.0
314 Bladder Cancer 40.0
315 Urinary tract infection 40.0
316 Cystitis 40.0
317 Deep venous thrombosis 39.0
318 pancreatic SOD 39.0
319 Medullary thyroid cancer 38.0
320 Acne fulminans 38.0
321 Acute Hepatitis 37.0
322 Chronic atrial fibrillation 36.0
323 Premature labor 36.0
324 Chronic Mitral regurgitation 35.0
325 Bacterial conjunctivitis 35.0
326 Viral conjunctivitis 35.0
327 Malt lymphoma 34.0
328 Hyperprolactinemia 34.0
329 Anaplastic thyroid cancer 34.0
330 Epidemic keratoconjunctivitis 34.0
331 Erythema nodosum 34.0
332 Gastroesophageal reflux disease 33.0
333 Cystic Fibrosis 33.0
334 Non-alcoholic Fatty Liver Disease 33.0
335 Bed bugs 33.0
336 Motion Sickness 33.0
337 Herpes zoster 31.0
338 End Stage Renal Disease 31.0
339 Acromegaly 31.0
340 Ectopic Pregnancy 31.0
341 Aortic coarctation 30.0
342 Umbilical hernia 30.0
343 Renal Cell Carcinoma 29.0
344 Migraine headache in adults 29.0
345 Ischemic optic neuropathy 28.0
346 posteriorischemic optic neuropathy 28.0
347 Pressure ulcer 27.0
348 Varicose veins 27.0
349 Osteoarthritis 27.0
350 Acute respiratory failure 27.0
351 Hemorrhoids 27.0
352 Von willebrand disease 27.0
353 Rheumatoid Arthritis 26.0
354 Toxic multinodular goiter 26.0
355 Blepharitis 26.0
356 Allergic rhinitis 25.0
357 Dubin-Johnson syndrome 25.0
358 Laryngeal Cancer 25.0
359 Candidiasis 25.0
360 Achilles tendinopathy 24.0
361 Achilles tendon rupture 24.0
362 Sphincter of Oddi Dysfunction 24.0
363 Gilbert syndrome 24.0
364 Dacryocystitis 24.0
365 Prinzmetal angina 23.0
366 Portal hypertension 23.0
367 Gingivitis 23.0
368 Acute bacterial rhinosinusitis 23.0
369 Angiodysplasia of the colon 23.0
370 Limited cutaneous systemic sclerosis 22.0
371 Rosacea 22.0
372 Tinnitus 22.0
373 Premenstrual syndrome 21.0
374 Clonorchiasis 21.0
375 Cholecystitis 21.0
376 Chronic Cholecystitis 21.0
377 Acute Bronchitis 20.0
378 Urinary Tract Obstruction 19.0
379 Optic neuritis 19.0
380 Neuropapillitis 19.0
381 Keloid 19.0
382 Acute epididymitis 18.0
383 Uveitis 18.0
384 Anterior uveitis 18.0
385 Intermediate uveitis 18.0
386 Posterior uveitis 18.0
387 Pan uveitis 18.0
388 Peroneal Neuropathy 18.0
389 Subdural hematoma 18.0
390 Diabetic Kidney Disease 17.0
391 Multiple Myeloma 16.0
392 Goiter 16.0
393 Diffuse nontoxic goiter 16.0
394 Obstructive cervical goiters 16.0
395 Cervical goiter 16.0
396 Painless thyroiditis 16.0
397 Recurrent aphthous stomatitis 16.0
398 Gallbladder Empyema 16.0
399 Simple kidney cyst 15.0
400 Thyroid lymphoma 15.0
401 Epididymo-orchitis 15.0
402 Chronic liver disease 14.0
403 Bullous pemphigoid 14.0
404 Pseudohypoparathyroidism 14.0
405 Migraine 14.0
406 Psychogenic polydipsia 14.0
407 Intrahepatic cholestasis of pregnancy 14.0
408 Aortic stenosis 14.0
409 Mitral Valve Prolapse 14.0
410 Toxic thyroid adenoma 14.0
411 Drowning 14.0
412 Insomnia in adults 13.0
413 Extrahepatic Cholestasis 13.0
414 Intrahepatic Cholestasis 13.0
415 Phenylketonuria 13.0
416 Nasal polyps 12.0
417 Critical Illness Polyneuropathy 11.0
418 Testicular cancer 11.0
419 Psoriatic arthritis 11.0
420 Herpes pharyngitis 10.0
421 Atopic dermatitis 9.0
422 Paraneoplastic Syndromes 9.0
423 Primary ciliary dyskinesia 9.0
424 Kartagener syndrome 9.0
425 Scleritis 8.0
426 Anterior scleritis 8.0
427 Posterior scleritis 8.0
428 Asthma 8.0
429 Hyperaldosteronism 7.0
430 Discogenic low back pain 7.0
431 Cryptorchidism 7.0
432 Menopause 6.0
433 Osteomalacia 5.0
434 Alzheimer disease 5.0
435 Pityriasis rosea 5.0
436 Ichthyosis 5.0
437 Dermatophyte infections 4.0
438 Ramsay Hunt syndrome 4.0
439 Meniere disease 4.0
440 Acute Rhinosinusitis 3.0
441 endocarditis 2.0
442 Essential Tremor 0.0
443 Trachoma 0.0
444 Myasthenia Gravis 0.0
445 Neonatal Myasthenia Gravis 0.0
446 Congenital Myasthenic Syndromes 0.0
447 Gestational diabetes mellitus 0.0
448 Musculoskeletal lower back pain 0.0
449 Immune thrombocytopenia 0.0
450 Acute Cystitis(Men) 0.0
451 Acute Cystitis(Women) 0.0
452 Acne conglobata 0.0
453 Penis Carcinoma 0.0
454 Oropharyngeal cancer 0.0
455 Measles 0.0