I - HUMAN CASE STUDY 4 YEARS OLD REASON FOR ENCOUNTER:LEAKING STOOL IN HIS UNDERWEAR LOCATION:OUTPATIENT CLINIC WITH:X-RAYECG LABORATORY CAPABILITIES

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I - HUMAN CASE STUDY 4 YEARS OLD REASON FOR
ENCOUNTER:LEAKING STOOL IN HIS UNDERWEAR
LOCATION:OUTPATIENT CLINIC WITH:X-RAYECG
LABORATORY CAPABILITIES

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i- HumanyCaseySummaryy+yMaxyKing



PatientyDetails:

 Name:yMaxyKing
 Age:y4yyearsyold
 Height:y3'4"y(102ycm)
 Weight:y40.0ylby(18.2ykg)



ReasonyforyEncounter:

□ Leakingystooly inyhisy underwear



Location:

□ Outpatientyclinicywith:

 X-ray
 ECG
 Laboratoryy capabilities



CaseyMode:

 TestyMode
 Attemptsy Available:y 2

HISTORYy+yMaxyKingy(4yy/o,yLeakingyStoolyinyUnderwear)

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1. ChiefyComplainty(CC)

 Whenydidytheystoolyleakageyfirstystart?
 Howyoftenydoesyityhappen?
 Isyityconstantyoryintermittent?



2. HistoryyofyPresentyIllnessy(HPI)

 Anyyrecenty constipationy ory hardy stools?
 IsyMaxystrainingywhenytryingytoyhaveyaybowelymovement?
 Doesyheycomplainyofyabdominalypainyorybloating?
 Hasyheyeveryhadypainywithypoopingyorytriedytoyavoidygoingytoytheyto
ilet?
 Anyybloodyinytheystool?
 Doesyheyshowyanyysignsyofyurgencyyoryincontinence?



3. Bowely Habits

 Howyoftenydoesyheyhaveyaybowelymovement?
 Whatydoesytheystoolyusuallyylookylike?
y(BristolyStoolyScaleymayyhelpyifyusedyinyi-Human)

 Doesyheyuseytheytoiletyorystillyinydiapers/pull-ups?
 Isyheyfullyytoiletytrained?



4. DietaryyHistory

 Howymuchyfiberyisyinyhisydiet?y(Fruits,yvegetables,ywholeygrains)
 Howymuchyfluidydoesyheydrinkydaily?
 Doesyheydrinkyaylotyofymilkyorydairy?
y(Excessycanyleadytoyconstipation)




5. PastyMedicalyHistory