here today due to frequent and watery bowel movements”
of Present Illness (HPI)
37-year-old European American female presents to your practice with “loose
stools” for about three days. One event about every three hours
at the age of 14
and chills, Lost appetite Flatulence No mucus or blood on stools
Pulse 89; RR 16; Temp 99.0; Ht 5,6; wt 110; BMI 17.8
female in no acute distress, appears slightly fatigued
normocephalic, PERRLA, EOMI, arcus senilus bilaterally, conjunctiva and
sclera clear, nares patent, nasopharynx clear, edentulous.
without rub or gallop
bowel sounds (BS) in all four quadrants; no masses; no organomegaly noted;
diffuse, mild, bilateral lower quadrant pain noted Mild diffuse tenderness.
cyanosis, clubbing or edema
skin turgor noted, moist mucous membranes
obvious deformities, CN grossly intact II-XII
What other subjective data would you obtain?
What other objective findings would you look for?
What diagnostic exams do you want to order?
Name 3 differential diagnoses based on this patient presenting symptoms?
Give rationales for your each differential diagnosis.
Chief Complaint (CC) “I am here today due to frequent and watery bowel movement