I HUMAN CASE WEEK 7 FINAL NRNP 6541 COURTNRY
GRAHAM MAX KING A 4 YEARS OLD CAUCASIAN.
HPI Max King is a 4-years Old Caucasian male child visited the clinic with his father with a complaint of leaking stools in his underwear for the past 3-weeks. Father states that his child had intermittent abdominal pain for 2 years and had experienced hard stools as well. He also reported that his child started having watering stools, 2-3 times in a day for the past 3-weeks.He went further to explained that the abdominal pain usually starts after eating and gets better a few minutes.According to max’s father, he states that his son is picky eater, and do not eat vegetables or healthy. Max is known to love eating fried food and dessert, drink three cups of milks in a day, and do not drink enough water.The father mentioned that max is potty trained, and he denies nausea or vomiting, fever, bleeding with defecation, and headache. He reported of straining when defecating.Physical examination revealed a diffuse tenderness to palpation of the abdomen.
Treatment/Management Plan Primary Diagnosis: Encopresis and ICD-10 code: F98.1 • Encopresis sometimes called stool soiling can been defined as an intentional or involuntary movement of stools into the underwear or clothing. It usually occurs in toilet trained children with developmental age that is greater or equals to 4 years. The child usual resist defecation which causes feces to be impacted in the colon leading to constipation, and later followed by leaking watery stool (Colombo et al., 2017).
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