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History :
HPI: the source of infomation 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 has same symptoms
-denied: has loss of appetite 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 Immunization: up to date
FHX: none

Physical Examination :
none

Diagnosis 1 :
gastroenteritis

History Findings Physical Exam Findings


1) watery diarrhea
2) fever
3) daycare children has same
symptoms

Diagnosis 2 :
traveles diarrhea

History Findings Physical Exam Findings


1) watery diarrhea
2) fever
3) h/o travel

Diagnosis 3 :
bacterial diarrhea

History Findings Physical Exam Findings


1) watery diarrhea
2) fever

Diagnostic Study/Studies - Labs


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