i-Human Case Study on Loose Stools in a 25-
Year-Old Female Week 7 Assignment | |
Walden University (2026)
Patient Information
• Age: 25 years
• Gender: Not specified in the title (likely male or female)
• Height: 5'4" (163 cm)
• Weight: 58.2 kg
Chief Complaint:
, REAL CASE ASSIGNMENT
Reason for Encounter: Loose stools
History of Present Illness (HPI)
Patient–Clinician Dialogue
Clinician: “When did you first notice your diarrhea?”
Patient: “It started about three days ago, shortly after returning from a trip to Mexico. At first, it
was just a little loose stool, but it quickly became watery and frequent.”
Clinician: “How often are you having bowel movements?”
Patient: “Six to eight times a day. Sometimes I have to rush to the bathroom; I can’t hold it.”
Clinician: “Have you noticed blood in your stools?”
Patient: “No, I haven’t seen any blood.”
Clinician: “Any mucus in your stool?”
Patient: “Yes, I noticed some mucus a couple of times.”
Clinician: “Do you have abdominal pain?”
Patient: “Yes, cramping in my lower abdomen, especially before I go to the bathroom.”
Clinician: “Have you had nausea or vomiting?”
Patient: “I vomited once, two days ago. It wasn’t severe, just once.”
Clinician: “Any fevers, chills, or body aches?”
Patient: “Yes, mild fever and chills. I’ve felt tired and weak.”
Clinician: “Have you lost any weight recently?” Patient:
“No.”
Clinician: “Any recent antibiotics?”
Patient: “No.”
Clinician: “Has anyone around you been sick?”
Patient: “No, I don’t know anyone else who is sick.”
Clinician: “Do you drink enough fluids?”
Patient: “I try, but I haven’t been drinking enough. My mouth feels dry sometimes.”
Document shared on https://www.docsity.com/en/docs/i-human-case-study-on-loose-stools-in-a-25-year-old-female-week-7-assignment-or-or-walden-un/15402313/
, Clinician: “Do you have a history of stomach problems?” Patient:
“No, never.”
Clinician: “Did you eat anything unusual during your travel?”
Patient: “Yes, street tacos, fresh juices, and some other local foods.”
Clinician: “Do you have any other medical conditions?” Patient:
“No.”
Review of Systems (ROS)
• General: Fever, chills, fatigue, malaise
• Gastrointestinal: Frequent watery diarrhea, mild cramping, mucus, one episode of
vomiting, no hematochezia
• Genitourinary: No dysuria, no hematuria
• Respiratory: No cough, no shortness of breath
• Cardiovascular: No chest pain, palpitations
• Neurological: No dizziness, headaches present due to fatigue
• Skin: No rashes or lesions
• Other systems: Unremarkable
Past Medical History
• No chronic illnesses
• No hospitalizations
• No previous gastrointestinal disorders
Medications
• None
Allergies
• No known drug allergies
Family History
• Noncontributory
Year-Old Female Week 7 Assignment | |
Walden University (2026)
Patient Information
• Age: 25 years
• Gender: Not specified in the title (likely male or female)
• Height: 5'4" (163 cm)
• Weight: 58.2 kg
Chief Complaint:
, REAL CASE ASSIGNMENT
Reason for Encounter: Loose stools
History of Present Illness (HPI)
Patient–Clinician Dialogue
Clinician: “When did you first notice your diarrhea?”
Patient: “It started about three days ago, shortly after returning from a trip to Mexico. At first, it
was just a little loose stool, but it quickly became watery and frequent.”
Clinician: “How often are you having bowel movements?”
Patient: “Six to eight times a day. Sometimes I have to rush to the bathroom; I can’t hold it.”
Clinician: “Have you noticed blood in your stools?”
Patient: “No, I haven’t seen any blood.”
Clinician: “Any mucus in your stool?”
Patient: “Yes, I noticed some mucus a couple of times.”
Clinician: “Do you have abdominal pain?”
Patient: “Yes, cramping in my lower abdomen, especially before I go to the bathroom.”
Clinician: “Have you had nausea or vomiting?”
Patient: “I vomited once, two days ago. It wasn’t severe, just once.”
Clinician: “Any fevers, chills, or body aches?”
Patient: “Yes, mild fever and chills. I’ve felt tired and weak.”
Clinician: “Have you lost any weight recently?” Patient:
“No.”
Clinician: “Any recent antibiotics?”
Patient: “No.”
Clinician: “Has anyone around you been sick?”
Patient: “No, I don’t know anyone else who is sick.”
Clinician: “Do you drink enough fluids?”
Patient: “I try, but I haven’t been drinking enough. My mouth feels dry sometimes.”
Document shared on https://www.docsity.com/en/docs/i-human-case-study-on-loose-stools-in-a-25-year-old-female-week-7-assignment-or-or-walden-un/15402313/
, Clinician: “Do you have a history of stomach problems?” Patient:
“No, never.”
Clinician: “Did you eat anything unusual during your travel?”
Patient: “Yes, street tacos, fresh juices, and some other local foods.”
Clinician: “Do you have any other medical conditions?” Patient:
“No.”
Review of Systems (ROS)
• General: Fever, chills, fatigue, malaise
• Gastrointestinal: Frequent watery diarrhea, mild cramping, mucus, one episode of
vomiting, no hematochezia
• Genitourinary: No dysuria, no hematuria
• Respiratory: No cough, no shortness of breath
• Cardiovascular: No chest pain, palpitations
• Neurological: No dizziness, headaches present due to fatigue
• Skin: No rashes or lesions
• Other systems: Unremarkable
Past Medical History
• No chronic illnesses
• No hospitalizations
• No previous gastrointestinal disorders
Medications
• None
Allergies
• No known drug allergies
Family History
• Noncontributory
