HISTORY:
for
, , ,
, episodes ,
, , , clots
, over
, episodes ,
Worsening factors:
Treatments tried: ,
Other elements:
EXAM:
General appearance:
Vital signs: , BP , HR , RR , SpO2 %, Temp °
Abdomen: , , ,
Pelvic: vulva , vagina , cervix , uterus , adnexa ,
Genital: , testicles , penis
ASSESSMENT:
DDx:
PLAN:
- Blood work: , , , , , , , , ,
- Stools: , , ,
- Colonoscopy
- Abdominal ultrasound
- Psychoeducation about irritable bowel syndrome
- Dietary modifications: , ,
- Regular exercise
- Stress management techniques
- Sleep hygiene
-
- Referral to dietitian
- Referral to psychologist
- Referral to gastroenterologist
- Follow-up in
- Return if symptoms worsen or if new symptoms develop such as weight loss, blood in stools, or fever