See also:
Abdominal pain Ddx
Constipation/diarrhea Ddx
Pediatric fever Ddx
Hx
Watery diarrhea
Vomiting
Lethargy (esp. in pediatric patients)
Diffuse crampy abdominal pain
Abdominal cramps
Duration of about 24 hours
Low-grade fever
Coworkers/family members may have similar sx
Recent travel
Child who attends day care with other sick children
Sx (viral gastroenteritis)
Vomiting
Watery diarrhea
Sx (bacterial gastroenteritis)
Fever
Tenesmus
Bloody diarrhea
Severe abdominal pain
Workup
Physical exam
Note: rebound tenderness suggests more severe etiology
Rectal exam, stool for occult blood
Stool
Leukocytes
Culture
Giardia antigen (if recent travel)
Entamoeba histolytica antigen (if recent travel)
CBC
Electrolytes
AST/ALT/bilirubin/ALP
Viral hepatitis serology
CT-abdomen/pelvis
Ddx
Enterotoxigenic E. coli