etiology

acute (<3 wks) subacute (3-8 wks) chronic (>8 wks)

nature of patient

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<aside> 🗒️ Patient: Katie Raymond Age: 45 y/o Sex: Female CC: abdominal pain + back pain

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approach

History

Hx of Present Illness


Past Medical Hx


Social Hx

review of systems

<aside> <img src="attachment:21b22a3c-678b-41ee-8186-26009e6afcc8:giphy_(5).gif" alt="attachment:21b22a3c-678b-41ee-8186-26009e6afcc8:giphy_(5).gif" width="40px" /> DDx: Crohn’s vs. ulcerative colitis

Crohn’s Ulcerative colitis
Frequency/type of defecation increased, typically non-bloody diarrhea greatly increased, bloody diarrhea w/ mucus
Nutritional status poor or malnourished since ulcerative colitis does not affect small intestine, absorption of nutrients is not impaired → mostly normal but wt loss + malnutrition can still occur in severe disease
PE constant RLQ pain, palpable abdominal mass painful defecation, pain located in LLQ
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Physical Examination

HEENT

Chest

Cardiovascular

Abdominal

Pelvic