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Salient Features - Subjective

Pertinent Positive
Family Hx: (+) DM
Constipation then diarrhea
Crampy abdominal pain
Hematochezia
Medications: Imodium,
vitamins and body building
supplements
Generalized body malaise
5 lbs. weight loss


Pertinent Negative
Age - 30 y/o
Gender Male
Occupation Personal
trainer
Diet: Vegetarian
BP: 110/70
(-) Dysuria, urgency,
frequency


Salient Features - Objective
Pertinent Positive
Hyperactive bowel sounds
Fever-37.9 C
Abdomen slightly distended
Pain on deep palpation over
all quadrants
Pulses (+) on all extremities

Pertinent Negative
Pain on deep palpation over
all quadrants
Tympanitic abdomen upon
percussion
Empty rectal vault
(-) carotid bruit
Liver dullness 10 cm along
MCL
Anicteric sclera
No splenomegaly

True
Chronic
>4 wks
Acute
<4 wks
False
Fecal
Incontinence
C
H
R
O
N
I
C

Secretory
Iatrogenic
Bowel Resection
Osmotic
Malabsorption
Syndrome
Bulk forming
Laxatives
Impaired motility
Diabetic
Neuropathy
Hormone related
Inflammatory
Inflammatory
Bowel Diseases
Diverticulitis
Neoplasia
A
c
u
t
e

Infection
Allergy
Medications
Organ Systems Involved
Genitourinary system
Enlarged prostate
Enlarged bladder
Neuro-endocrine system
Diabetic Neuropathy
Malabsorption Syndrome
Hormone Related
Gastrointestinal system
Microbiologic Infection
Drug Induced
Malignancy
Inflammatory Bowel Disease
Diverticulitis

Genito-urinary System
Prostatomegaly
Prostate CA
Benign Prostatic
Hyperplasia
Enlarged Bladder
Cystic Tumor

Pertinent Negative:
20 y/o, Rectal vault
empty, (-) dysuria, (-)
frequency (-) urgency

Neuro-endocrine System
Pertinent Negative: Vegetarian, Personal Trainer, No s/sx of DM (polypahgia,polydipsia, polyuria)
Pertinent Positive: Family hx (+) DM
Neuro-endocrine System
Malabsorption Syndrome
Pancreatitis
Tympanitic upon
percussion, pain on all
quadrants upon deep
palpation, Vegetarian

Cystic Fibrosis and
Celiac Disease
20 y/o
Neuro-endocrine System
Hyperthyroidism
(-) carotid bruit
Carcinoid Syndrome
Affects
enterochromaffin cells -
> Inc. serotonin
BP: 110/70

Gastrointestinal System
Drug Induced Diarrhea
Medications taken:
Imodium
Vitamin supplements
Body building
supplements

Gastrointestinal System
Diverticulitis
Diet: Vegetarian
(High Fiber)
Personal Trainer
(High Physical
Activity)

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