I HUMAN 42 Y/0 REASON FOR ENCOUNTER DIARRHEA
2025 LATEST VERSION QUESTION AND ANSWERS
Reason for Encounter: Diarrhea
Chief Complaint (CC):
A 66-year-old female presents with a 3-day history of
diarrhea.
History of Present Illness (HPI):
• Onset: Started 3 days ago, progressively worsening.
• Character: Loose, watery stools, occurring 6-8 times per
day.
• Associated Symptoms: Mild abdominal cramping,
occasional nausea, no vomiting, no blood in stool.
• Aggravating Factors: Worse after eating.
• Alleviating Factors: No significant relief with over-the-
counter loperamide.
• Recent Travel or Sick Contacts: None.
• Dietary History: Recently ate undercooked seafood at a
restaurant.
• Hydration Status: Feels weak and slightly dizzy, but no
syncope.
, Past Medical History (PMH):
• Hypertension (HTN)
• Type 2 Diabetes Mellitus (T2DM)
• Hyperlipidemia (HLD)
• History of GERD
Medications:
• Metformin 500 mg BID
• Lisinopril 10 mg daily
• Atorvastatin 40 mg daily
• Omeprazole 20 mg daily
Physical Examination (PE):
• General: Mildly dehydrated, alert but fatigued.
• Vital Signs:
o BP: 118/75 mmHg
o HR: 96 bpm (mildly tachycardic)
o RR: 18 breaths/min
o Temp: 99.1°F (37.3°C)
o O2 Sat: 98% on room air
• Abdomen:
o Mild diffuse tenderness, no rebound or guarding.
o Normal bowel sounds, no distension.
• Skin:
o Dry mucous membranes (suggesting dehydration).
2025 LATEST VERSION QUESTION AND ANSWERS
Reason for Encounter: Diarrhea
Chief Complaint (CC):
A 66-year-old female presents with a 3-day history of
diarrhea.
History of Present Illness (HPI):
• Onset: Started 3 days ago, progressively worsening.
• Character: Loose, watery stools, occurring 6-8 times per
day.
• Associated Symptoms: Mild abdominal cramping,
occasional nausea, no vomiting, no blood in stool.
• Aggravating Factors: Worse after eating.
• Alleviating Factors: No significant relief with over-the-
counter loperamide.
• Recent Travel or Sick Contacts: None.
• Dietary History: Recently ate undercooked seafood at a
restaurant.
• Hydration Status: Feels weak and slightly dizzy, but no
syncope.
, Past Medical History (PMH):
• Hypertension (HTN)
• Type 2 Diabetes Mellitus (T2DM)
• Hyperlipidemia (HLD)
• History of GERD
Medications:
• Metformin 500 mg BID
• Lisinopril 10 mg daily
• Atorvastatin 40 mg daily
• Omeprazole 20 mg daily
Physical Examination (PE):
• General: Mildly dehydrated, alert but fatigued.
• Vital Signs:
o BP: 118/75 mmHg
o HR: 96 bpm (mildly tachycardic)
o RR: 18 breaths/min
o Temp: 99.1°F (37.3°C)
o O2 Sat: 98% on room air
• Abdomen:
o Mild diffuse tenderness, no rebound or guarding.
o Normal bowel sounds, no distension.
• Skin:
o Dry mucous membranes (suggesting dehydration).
