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    Flatulence: 1. Chief Complaint

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    drnareshkumar3281
    This document outlines the chief complaint, history, exam, assessment, and plan for a patient presenting with flatulence. It collects information on onset, duration, severity of flatulence and associated symptoms. The patient's family, social, and medical histories are documented. Differential diagnoses include inflammatory bowel disease, intestinal obstruction, and hypothyroidism. Tests such as bloodwork, imaging, and endoscopy may be ordered. Treatment involves dietary changes, medication like Beano or simethicone, and patient education. Follow up is planned.

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    Flatulence: 1. Chief Complaint

    Uploaded by

    drnareshkumar3281
    80 views4 pages
    This document outlines the chief complaint, history, exam, assessment, and plan for a patient presenting with flatulence. It collects information on onset, duration, severity of flatulence and associated symptoms. The patient's family, social, and medical histories are documented. Differential diagnoses include inflammatory bowel disease, intestinal obstruction, and hypothyroidism. Tests such as bloodwork, imaging, and endoscopy may be ordered. Treatment involves dietary changes, medication like Beano or simethicone, and patient education. Follow up is planned.

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    Flatulence

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    This document outlines the chief complaint, history, exam, assessment, and plan for a patient presenting with flatulence. It collects information on onset, duration, severity of flatulence and associated symptoms. The patient's family, social, and medical histories are documented. Differential diagnoses include inflammatory bowel disease, intestinal obstruction, and hypothyroidism. Tests such as bloodwork, imaging, and endoscopy may be ordered. Treatment involves dietary changes, medication like Beano or simethicone, and patient education. Follow up is planned.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    80 views4 pages

    Flatulence: 1. Chief Complaint

    Uploaded by

    drnareshkumar3281
    This document outlines the chief complaint, history, exam, assessment, and plan for a patient presenting with flatulence. It collects information on onset, duration, severity of flatulence and associated symptoms. The patient's family, social, and medical histories are documented. Differential diagnoses include inflammatory bowel disease, intestinal obstruction, and hypothyroidism. Tests such as bloodwork, imaging, and endoscopy may be ordered. Treatment involves dietary changes, medication like Beano or simethicone, and patient education. Follow up is planned.

    Copyright:

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    Download as doc, pdf, or txt
    of 4

    FLATULENCE

    1. CHIEF COMPLAINT

    •Flatulence

    2. HPI
    1. Concern

    2. Onset
    Sudden
    Gradual
    3. Duration
    •Recent
    •A few days
    •Many days
    •A few weeks
    •Many weeks
    •A few months
    •Many months
    •A few years
    •Many years
    •Recurrent
    •n/a
    4. Severity
    •Mild
    •Moderate
    •Severe
    •Normal
    •Increased
    •Decreased
    •Stable
    •No significant change from prior visit
    5. Frequancy
    6. Aggravated by-fiber food
    7. Relieved by
    8. Pertinent Negatives
    9. Notes

    3. ROS
    4. ASSOCIATED SYMPTOMS
    •Abdominal bloating
    •Belching
    •Crampy discomfort
    •Change in bowel habits
    •Diarrhea
    •Constipation
    •Blood in the stool
    •Fever
    •Nausea
    •Vomiting
    •Abdominal pain
    •Abdominal swelling

    5. HISTORY
    a. FAMILY HISTORY
    •Diabetes
    •Lactose intolerance
    •Thyroid diseases
    •Hypertension

    b. SOCIAL HISTORY
    •Alcohol

    c. PASTMEDICAL HISTORY
    • Inflammatory bowel disease
    • Intestinal obstruction
    • Diverticulosis
    • Diverticulitis
    • Hypothyroidism
    • Diabetes
    • Cancer
    • Malabsorption
    • Cirrhosis of the liver
    • Infection

    d. SURGICAL HISTORY
    e. CHRONIC CONDITIONS

    6. ALLERGIES

    7. PHYSICAL EXAMINATION
    8. SPECIFIC DATA LIKE GRADING ETC

    9. DIFFERENTIAL DIAGNOSIS
    •Inflammatory bowel disease
    •Intestinal obstruction
    •Diverticulosis
    •Diverticulitis
    •Hypothyroidism
    •Diabetes
    •Cancer
    •Malabsorption
    •Cirrhosis of the liver
    •Infection

    10.TESTS TO BE ORDERED
    •CBP
    •Liver function tests
    •Thyroid function tests
    •FBS
    •PLBS
    •X-rays
    •USG
    •CT scan
    •MRI
    •Colonoscopy

    11.ASSESSMENT /PLAN
    •Changing diet
    •Reducing the amount of air swallowed

    12.EDUCATION
    •Take more liquids
    •Take less fiber food
    13.MEDICATION
    •Beano
    •Mylanta II
    •Maalox II
    •Di-Gel
    •Simethicone
    •Activated charcoal
    •Metoclopramide
    •Alpha-galactosidase enzymes
    •Lactase
    •Amylase
    •Lipase
    •Protease
    •Cellulose
    •Glucoamylase
    •Invertase
    •Malt diastase
    •Pectinase
    •Bromelain
    •Rifaximin
    •Bismuth subgallate

    14.FOLLOW-UP

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