i-Human Virtual Patient Week #5 – Diarrhea Case Patient: 42-year-old male Setting: Outpatient / Primary Care Chief Complaint: “I’ve had diarrhea for several days.” CHIEF COMPLAINT (CC) “I’ve been having loose stools for about 5 days.” HISTORY OF PRESENT ILLNESS (HPI) A 42-year-old male presents with 5 days of watery diarrhea, occurring 6–8 times per day. The stools are non-bloody, non-mucoid, and associated with abdominal cramping and bloating. Symptoms began 2 days after returning from a business trip where he ate street food. He reports: Mild nausea No vomiting Low-grade fever (maximum 100.4°F / 38°C) Fatigue No nocturnal diarrhea He denies: Hematochezia or melena Severe abdominal pain Recent antibiotic use Weight loss Sick contacts Prior similar episodes Oral intake has decreased due to fear of worsening diarrhea. PAST MEDICAL HISTORY (PMH)
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