N512 Sentinel U George Adamos – APS debrief preparation Case Study | 2026 Update with complete solutions – Post university.

N512 Sentinel U George Adamos – APS debrief preparation Case Study | 2026 Update with complete
solutions – Post university.


George Adamos – APS Practice Case Study
Patient Information
Name: George Adamos
Age: 55 years
Gender: Male
Ethnicity: Mediterranean
Simulation Area: Oncology
Chief Complaints: Diarrhea and fatigue (Mastered Tutorials)




Chief Complaint
"I've had diarrhea for several days and I feel exhausted."




History of Present Illness (HPI)
George Adamos is a 55-year-old male with a history of metastatic colorectal cancer currently
receiving chemotherapy. He presents with worsening diarrhea and profound fatigue for
approximately 5 days.

The patient reports:

 8–10 loose watery stools daily
 Progressive weakness
 Dizziness when standing
 Decreased appetite
 Dry mouth
 Reduced oral intake
 Mild abdominal cramping
 Dark yellow urine
 Recent weight loss

He denies:

 Bloody stools

,  Vomiting
 Chest pain
 Shortness of breath
 Recent travel
 Known infectious exposure

Symptoms have worsened since his last chemotherapy treatment.




Past Medical History
 Metastatic colorectal cancer
 Hypertension
 Hyperlipidemia
 Chemotherapy-induced nausea




Surgical History
 Partial colectomy
 Port-a-cath placement




Medications
 Chemotherapy regimen
 Ondansetron PRN
 Lisinopril
 Atorvastatin




Allergies
 No known drug allergies