Comprehensive Case Study ;18 month old patient reason for encounter:vomiting and diarrhea (6541) iHuman Case Analysis Week #7 latest UPDATE. Walden university
Patient Overview:
• Age: 18 months
• Height: 2' 8" (81 cm)
• Weight: 26.0 lb (11.8 kg)
• Chief Complaint: Vomiting and diarrhea
• Reason for Encounter: Vomiting and diarrhea
•
Subjective:
CC (chief complaint): Vomiting and diarrhea
HPI: - is a 18-month-old female who presents today with her mother with
complaints of vomiting and diarrhea times 2 days. Sister recently had similar
symptoms. Her mother reports that - has vomited 4-5 times daily for the
past two days and had 3-4 episodes of liquid diarrhea daily for the past two
days. Vomit is liquid with some partially digested food. Diarrhea is liquid.
Denies coffee-ground emesis or blood in stool or vomit. No fever, cough,
decreased activity. The mother does report concerns over decreased
appetite. Had been taking Pedialyte and tolerating small amounts of
Pedialyte and milk. Physical exam without signs of dehydration, abdominal
pain, or rebound tenderness.