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MEDICAL RECORD DOCUMENTATION OF ACUTE GASTROENTERITIS

Name: Matthew Pringle1

Birth date: July 15, 19902

Drug allergies: None known3

Thursday, February 14, 1991. Telephone

11:00 AM. Matt vomited x2 since getting up—1 loose stool. Alert, wet diapers twice today. No fever. Mom to give 1-2 oz of commercial maintenance electrolyte solution (40-50 mEq/L of sodium) every 20-30 min. Call back late afternoon. W.R., MD

4:00 PM. No more vomiting. Kept 12 oz of electrolyte solution. Very wet diaper now. 1 loose stool. Regularly on soy formula. Mom to give 2-3 bottles of diluted soy, then full-strength. Call tomorrow morning—sooner if diarrhea worsens, has repeated vomiting, or starts to look sicker. W.R., MD






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Pediatrics Pediatrics in Review
Copyright © 1991 by the American Academy of Pediatrics.