Comprehensive Case Study: 18-Month-Old Patient with Vomiting and Diarrhea | iHuman Case Analysis #7
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IHUMAN
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IHUMAN
iHuman Case Week 7 (6541): Comprehensive Case Study of an 18-Month-Old Patient with Vomiting and Diarrhea | Includes HPI, PE, Differential Diagnosis, and Management Plan | I Human Case Week #7: 18-Month-Old Patient, Reason for Encounter: Vomiting and Diarrhea (Case 6541) | Expert Feedback on Latest...
Comprehensive Case Study ;18 month old patient reason
for encounter:vomiting and diarrhea (6541) iHuman
Case Analysis Week #7 latest 2024
,Chief Complaint:
Primary Concern: Vomiting and diarrhea for 2 days.
Reported by: The child’s mother.
History of Present Illness (HPI):
Duration: Vomiting and diarrhea for the past 2 days.
Vomiting:
o Vomiting 4-5 times per day, particularly after attempting to eat or
drink.
o The vomit is clear to yellow, with traces of food.
o No blood or bile.
Diarrhea:
o 5-6 watery stools daily.
o Stools are yellow-brown, no blood or mucus.
Hydration:
o Reduced urine output, suggesting mild dehydration.
o Drinking small amounts of water, refusing most food and liquids.
, Fever:
o No significant fever but occasional warmness.
Activity Level:
o Less active, irritable, but still alert.
Sick Contacts:
o Older sibling had similar symptoms recently, now recovered.
Dietary Changes:
o No recent dietary changes or introduction of new foods.
History and Physical Questions (HPQ)
1. When did the vomiting and diarrhea start?
o Answer: 2 days ago.
2. How many times has the child vomited in a day?
o Answer: About 4-5 times a day.
3. What does the vomit look like?
o Answer: Clear to yellow, with small traces of digested food.
4. Is there any blood in the vomit?
o Answer: No blood or bile is present.
5. How frequent are the stools?
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