Performance Overview on Case Samantha Graves

The following table summarizes your performance on each section of the case, whether you completed that section or not.

History Notecard on case Samantha Graves

Problem Statement on case Samantha Graves

Samantha is an 18-month-old AA female who presents to clinic with her mother with complaints of vomiting and diarrhea for two days. Her oral intake is decreased. She normally has 5-6 wet diapers per day, but it has decreased to 4. She normally has 2 formed stools per day, but she has 3-4 loose watery stools daily. Mom denies coffee-ground or bloody stool. She is vomiting 4-5 times per day. Her vomit consists of milk and partially digested food. She is drinking Pedialyte and milk. She drinks 12-15oz of whole milk per day. She had a sick sibling last week who had similar symptoms, but the symptoms resolved after two days. She does attend daycare, but the teacher denies any classmates being sick. Denies fevers.

Management Plan on case Samantha Graves

Primary:

Differentials:

Medication

Referrals:

Follow-Up:

Social Determinants:

Health Promotion:

REFERENCES

Electronic Medical Record on case Samantha Graves

• History of Present Illness
• Past Medical History
• Medications
• Allergies
• Preventive Health
• Family History
• Social History
• Review of Systems
• Physical Exams