NR 602 iHuman Leaking Stool In His Underwear
Questions To Ask
- How can I help him today?
- Do you have any pain in your abdomen?
- Does he have any other symptoms or concerns we should discuss?
- Is there any blood in his stools or with his bowel movement?
- How many bowel movements does he have a day?
- Does he have to strain when defecating?
- Is your pain relieved after a bowel movement?
- When was the last bowel movement? Is he taking any prescribed medication?
- Can you tell me about any current or past medical problems he has had?
- Is he taking any over the counter or herbal medication?
- Does he have any allergies?
- Can you tell me about his diet? What does he normally eat?
Physical Exam
- Vitals
- Lung auscultation
- Cardiac auscultation
- Eyes
- Abdomen auscultation
- Abdomens palpate
- Rectal visual inspection
- Rectal area
- Check brachial pulse
- Auscultate anterior lungs and posterior lungs
Differential Diagnoses
- Constipation
- Encopresis
- Hypothyroidism
- Gluten-sensitive enteropathy (Celiac Disease)
Must Not Miss
- Encopresis
- Hypothyroidism
- Celiac disease
Test to Order
- Free thyroxine (FT4)
- Anti-endomysial antibodies
- Abdomen-x-ray Immunoglobulin A (IgA)
- Antigliadin antibodies (IgA IgE IgG)
- Thyroid stimulating hormone (TSH)
- Anti-tissue transglutaminase antibodies (IgA-tTG)
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