Time Remaining :

Times Up!

History :
HPI: the source of information is the mother f 1yo m, who c/o her child has diarrhea
-Started 3 days ago, watery diarrhea getting worse now with blood and mucus, uncountable episodes.
-No aggravated/ alleviated
-Has fever, greenish vomiting, pt is extremely irritable, daycare children have same symptoms, loss of
appetite
-denied: rash, joint pain, antibiotic uses
ROS: no weight loss, changes urinary habits
PMH:none ALL:NDKA Meds: Acetaminophen
Birth: 39week w/o complication, vaginally.
Travel: recently travel to India
Growth: normal Immunizabtion: up to date
FHX: none

Physical Examination :
NO REQUEST

Diagnosis 1 :
gastroenteritis

History Findings Physical Exam Findings

1) watery diarrhea
2) daycare children have same
symptoms
3) bloody diarrhea

Diagnosis 2 :
travel's diarrhea

History Findings Physical Exam Findings

1) watery diarrhea
2) h/o travel

Diagnosis 3 :
food poisoning

History Findings Physical Exam Findings

1) watery diarrhea
 2) daycare children have same
symptom
3) bloody diarrhea

Diagnostic Study/Studies - Labs

1) stool for blood occult
2) stool culture with leukocytes
3) rectal exam
4) cbc
5) u/s abd