iHuman Dorothy Markham.
Dorothy Markham
78 y/o
5’3
125 lbs
Vitals
T: 100.76F PO P: 90
BP: 126/72 RR; 16
O2: 97% RA
CC: Diarrhea
1. How can I
... [Show More] help u today? – having a lot of watery diarrhea and stomach has been too upset. Caretaker at rehab sent her here to see whats wrong. The sent my chart over for you to review
2. Any other symptoms or concerns we should discuss? – yes appetitie is way off and having tummy pain. Feel woozy, lightheaded when standing. Feel worn out
3. When did ur diarrhea start – 2 days ago
4. What are the events surrounding the start of ur diarrhea – don’t know
5. How often do u have diarrhea like this - never
6. What tx have u had for ur diarrhea – none
7. Is there any blood in ur stool or with BM – no
8. Do u have black tar-like or foul smelling stool – no
9. How often do u feel that u need to move ur bowels – normally 2x/day. But when diarrhea started it happened 2x first night, 5x yesterday, and already 2x this AM
10. When did ur abd pain start - when diarrhea did
11. Does anything make the abd pain better or worse – taking it easy and resting makes better. A little better once get off toilet
12. What does the pain/discomfort in your abd feel like? – crampy
13. Where more precisely is your abd pain – all over belly
14. Do u have any abd bloating? – yes.
15. How severe (1-10) is your abd pain – 6 at its worse
16. How long does the pain in your abdomen last? – comes just before diarrhea, then feels better after a episode, so not too long
17. Do you have any N/V? – some nausea
18. Have u been in contact w other sick ppl – no
19. Have u been having fevers – don’t know but feel warm
20. Are u taking OTC/herbal meds – baby ASA and calcium with vitamin D
21. Any new or recent change in ur meds – abx 1 week ago
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22. When did u last take ur meds? – this AM
23. Do u have any allergies, meds, foods, latex - no
24. ROS: do u have any of the following fatigue, difficulty sleeping – yes [Show Less]