Report & Analysis | 25-Year-Old Patient with Loose Stools - Comprehensive iHuman Case Study
Expert Review, Week #7 | Expert Review of iHuman Case 25-Year-Old Patient Reason for
Encounter : Loose Stools -Week #7
Patient Information
• Age: 25 years old
• Gender: Not specified in the title (likely male or female)
• Height: 5'4" (163 cm)
• Weight: 58.2 kg Chief Complaint
• Reason for Encounter: Loose stools
History of Present Illness (HPI)
1. When did the loose stools begin? o "It started about three days ago."
2. How frequent are the loose stools?
, o "Around six to eight times a day."
3. What is the consistency of the stool?
o "It's watery most of the time."
4. Is there any blood in the stool?
o "No, I haven’t noticed any blood."
5. Do you feel any urgency to go to the bathroom?
o "Yes, I can’t hold it for long."
6. Have you had any recent travel history? o "Yes, I recently returned from a
trip to Mexico."
7. Did you eat anything unusual or suspect?
o "I had some street food while traveling."
8. Do you have any associated symptoms like fever or chills?
o "Yes, I’ve had a mild fever and some chills."
9. Have you experienced nausea or vomiting?
o "Yes, I vomited once two days ago."
10. Any abdominal pain?
o "Yes, I have cramping pain in my lower abdomen."
11. Have you experienced weight loss recently? o "No, not that I’ve noticed."
12. Have you noticed any mucus in the stool?
o "I think I’ve seen some mucus."
13. Have you been staying hydrated?
o "I’ve been trying to drink water but not enough, I
think."
14. Do you feel fatigued? o "Yes, I feel very tired."
15. Any recent antibiotic use?
To address the case of a 24-year-old female patient presenting with loose stools, we
need to consider a systematic approach to identify potential causes and
appropriate management.
Step 1: History Taking
• Duration and Frequency: Determine how long the patient has been experiencing
loose stools and how often they occur.
• Onset and Triggers: Identify if there was a specific event or dietary change that
preceded the symptoms.