Misdiagnosis of 32 cases of acute gastroenteritis.doc

 PAGE \* MERGEFORMAT 8 Misdiagnosis of 32 cases of acute gastroenteritis [Keywords:] Misdiagnosis of acute gastroenteritis The diagnosis of acute gastroenteritis generally not difficult, but many of the clinical disease may be nausea, vomiting, abdominal pain, diarrhea and other gastrointestinal symptoms, so easy to be confused with Erzhi misdiagnosis of this disease. We in August 2004 -2008 10 years May 366 cases of acute gastroenteritis were admitted, of which registration may be misdiagnosed investigation were 32 cases of misdiagnosis was 8.7%. misdiagnosed as acute gastroenteritis disease in 13 species, out-patient misdiagnosed 32 patients, newly diagnosed and hospitalized consistent with the final diagnosis only 8 cases. A misdiagnosis Table 1. Table 1 misdiagnosed as acute gastroenteritis and the number of cases of diseases Introduction 2 misdiagnosed cases 2.1 Acute appendicitis misdiagnosed as acute gastroenteritis Example 1, male, 50 .2004, 3 December, after eating apples because of upper abdominal pain, nausea, vomiting, diarrhea, 12h, no fever, no tenesmus, no pus and blood will be so, check WBC 16.6 × 109 / L, the 94% of neutrophils, lymphocytes 6%, with “acute gastroenteritis” admission. examination: body temperature 36.5 ℃, blood pressure 130/80mmHg, acute tolerance, expression of pain, to laugh squatting position, sclera, no yellow staining, no abnormal cardiopulmonary , liver and spleen not palpable, mild abdominal muscle tension, and the right lower quadrant tenderness was at 5cm below the umbilicus, bowel sounds normal. Admission diagnosis with the former, because of abdominal pain is not relieved after the switch surgery, diagnosed as acute suppurative appendicitis. Nausea and vomiting are common symptoms of acute appendicitis, early in the course of the disease may be related to reflex spasm of the pyloric stomach, late in the course of the disease is caused more by peritonitis. When acute appendicitis is often diarr