1|Page
2026 2027 GRADED A+
, 2|Page
i-Human Reflection
Evaluation of Loose Stools in a 25-Year-Old Female
This i-Human case focused on the evaluation of loose stools in a 25-year-old female and
emphasized the importance of a structured, patient-centered approach to gastrointestinal
complaints. The scenario allowed me to apply clinical reasoning skills while balancing
thorough assessment with appropriate diagnostic restraint.
During the encounter, I prioritized obtaining a comprehensive history of present illness.
Key elements included the onset, duration, frequency, and characteristics of the stools, as
well as associated symptoms such as abdominal pain, fever, nausea, or dehydration. I also
explored contributing factors including recent travel, dietary changes, medication use, sick
contacts, and stress. This case reinforced how detailed history-taking often provides the
most critical information for narrowing gastrointestinal differentials.
Based on the patient’s presentation, I considered several differential diagnoses, including
acute infectious diarrhea, irritable bowel syndrome, food intolerance, and medication-
related causes. More serious conditions such as inflammatory bowel disease were
considered but deemed less likely due to the absence of alarm features such as weight loss,
bloody stools, nocturnal symptoms, or significant systemic illness. This process highlighted
the importance of considering both common and serious etiologies while using clinical
findings to guide prioritization.
The case also emphasized evidence-based decision-making regarding diagnostics. I
recognized that extensive laboratory or imaging studies are not always warranted in young,
stable patients without red-flag symptoms. Supportive care, symptom monitoring, and
patient education were appropriate initial management strategies. This reinforced the
importance of avoiding unnecessary testing while ensuring patient safety through
appropriate follow-up guidance.
2026 2027 GRADED A+
2026 2027 GRADED A+
, 2|Page
i-Human Reflection
Evaluation of Loose Stools in a 25-Year-Old Female
This i-Human case focused on the evaluation of loose stools in a 25-year-old female and
emphasized the importance of a structured, patient-centered approach to gastrointestinal
complaints. The scenario allowed me to apply clinical reasoning skills while balancing
thorough assessment with appropriate diagnostic restraint.
During the encounter, I prioritized obtaining a comprehensive history of present illness.
Key elements included the onset, duration, frequency, and characteristics of the stools, as
well as associated symptoms such as abdominal pain, fever, nausea, or dehydration. I also
explored contributing factors including recent travel, dietary changes, medication use, sick
contacts, and stress. This case reinforced how detailed history-taking often provides the
most critical information for narrowing gastrointestinal differentials.
Based on the patient’s presentation, I considered several differential diagnoses, including
acute infectious diarrhea, irritable bowel syndrome, food intolerance, and medication-
related causes. More serious conditions such as inflammatory bowel disease were
considered but deemed less likely due to the absence of alarm features such as weight loss,
bloody stools, nocturnal symptoms, or significant systemic illness. This process highlighted
the importance of considering both common and serious etiologies while using clinical
findings to guide prioritization.
The case also emphasized evidence-based decision-making regarding diagnostics. I
recognized that extensive laboratory or imaging studies are not always warranted in young,
stable patients without red-flag symptoms. Supportive care, symptom monitoring, and
patient education were appropriate initial management strategies. This reinforced the
importance of avoiding unnecessary testing while ensuring patient safety through
appropriate follow-up guidance.
2026 2027 GRADED A+
