C09981321 / invoice 10000

Reason: Mucous In Motions, Reduced AppetiteAppointment Notes: NMSubjective: Having soft stools for about a weekTends to be a bit on and off; on and off some mucusHave been giving chicken and rice, not a massive fan of thisNo blood in stoolHas occ been vomiting up some water over the last week but not food.Energy levels seem unchanged.Examine:BAREyes NADEars NADOral: MMs pink CRT <2sLNNs WNLCardiac; HR 116 chest clearAbdomen comfortableInteg NADMSK NETemp 38.9Rectal: soft stools, otherwise NSFAssessment: Diarrhoea, on and off for a weekDDx: infectious currently top of list (giardia etc); less likely dietary/indiscretional, systemicPlan: Ramp up supportive care - place on probiotic, diet support, and dose buscopanAnd collect stool sample for inhouse oocyst and giardia testingIf all clear and INI then PCR +/- blood testing next stepIf worsens then shorten timelineTreatment: I/D dietBuscopan SQProkolinCollect stool sample    Vital Signs    Weight: 20.5;