HISTORY:
Diarrhea for
Type:
Bowel movement episodes occurred times
Worsening factors:
Treatments tried: ,
, , ,
, episodes ,
, up to °, over
, over ,
Other elements:
EXAM:
General appearance:
Vital signs: , BP , HR , RR , SpO2 %, Temp °
Neck:
Heart: ,
Lungs: ,
Abdomen: , , ,
Skin:
Extremities: , , cap refill , pulses ,
ASSESSMENT:
DDx:
PLAN:
- Blood work: , , , , , , , ,
- Stools: , , , , , ,
- CT scan of the abdomen
- Colonoscopy
- Encourage hydration
- Oral rehydration therapy
-
-
-
- Dietary modifications: , , ,
- Referral to gastroenterologist
- Referral to dietitian
- Follow-up in
- Return if diarrhea persists or if new symptoms develop such as fever, severe abdominal pain, or blood in stools