I Human Case Study Acute Diarrhea 2025, Performance Overview for Keirsten Jonesler on case Roger Miller

Performance Overview for Keirsten Jonesler on case Roger Miller The following table summarizes your performance on each section of the case, whether you completed that section or not. Time spent: 5hr 18min 1sec Status: Submitted Case Section Status Your Score Time spent Performance Details Total Score 87% History Done 82% 2hr 43min 47sec 120 questions asked, 30 correct, 7 missed relative to the case's list Physical exams Done 95% 21min 12sec 29 exams performed, 14 correct, 1 partially correct, 0 missed relative to the case's list Key findings organization Done 43sec 9 findings listed; 10 listed by the case Problem statement Done 16min 52sec 76 words long; the case's was 53 words Diagnosis Done 100% 21sec Management plan Done 6min 26sec 176 words long; the case's was 259 words Exercises Done 71% (of scored items only) 45min 53sec 10 of 14 correct (of scored items only) Attempt: 2903775 Report generated on 10/8/2023, 1:58:02 PM America/Denver Downloaded by Morris Muthii () History Notecard by Keirsten Jonesler on case Roger Miller Use this worksheet to organize your thoughts before developing a differential diagnosis list. 1. Indicate key symptoms (Sx) you have identified from the history. Start with the patient's reason(s) for the encounter and add additional symptoms obtained from further questioning. 2. Characterize the attributes of each symptom using "OLDCARTS". Capture the details in the appropriate column and row. 3. Review your findings and consider possible diagnoses that may correlate with these symptoms. (Remember to consider the patient's age and risk factors.) Use your ideas to help guide your physical examination in the next section of the case. HPI Sx = Sx = Sx = Sx = Sx = Sx = Onset Location Duration Characteristics Aggravating Relieving Timing / Treatments Severity Attempt: 2903775 Report generated on 10/8/2023, 1:58:02 PM America/Denver Downloaded by Morris Muthii () Problem Statement by Keirsten Jonesler on case Roger Miller RM is a 42 yo male with abrupt onset watery diarrhea with blood and diffuse abdominal pain after recent work- related travel and eating undercooked meat. Additionally, he reports lightheadedness, a mild headache, minimal nausea, and no vomiting. Physical exam reveals he is febrile 101.5F, pulse 102, dry mucous membranes, decreased skin turgor, orthostatic hypotension, and guaiac-positive stool per rectal exam, but is negative for rebound tenderness, referred pain, antibiotic use, palpable abdominal masses or rectal lesions. Attempt: 2903775 Report generated on 10/8/2023, 1:58:02 PM America/Denver Downloaded by Morris Muthii () Management Plan by Keirsten Jonesler on case Roger Miller Diagnostic Testing: WBC 13,500, Bands 10% Stool culture +Salmonella enteritidis, gram (-) bacilli; fecal leukocytes 10,000 WBC Medications/Treatment: OTC Loperamide (Imodium) 4mg PO initially, followed by 2mg after each unformed stool. Max 16mg/day Ciprofloxacin 500mg PO twice daily x3 days Consults/Referrals: Gastroenterology - canceled Supportive Care: Oral Rehydration - electrolyte replacement drinks, broths Bland diet until appetite and normal bowel habits return Avoid caffeine - coffee, tea, chocolate