CASE: AMOEBIASIS

PATIENT-CENTERED FAMILY-FOCUSED COMMUNITY-ORIENTED

HISTORY Chief Complaint Family History Place of Origin
AND Loose watery stool Other cases within the family with the Distance of household to septic tank
PHYSICAL EXAM History of Present Illness same or related symptoms Distance of latrine to water source
Characteristics of stool Determinants and resources Type of latrine ownership
Presence of blood/mucous Socio-economic status Water source ad sanitation
For how long? Frequency of bowel Type of work and work place (source Place of work
movement of water and food) Type of occupation
Approximate amount of stool? Place of occupation
Color of stool? Environmental sanitation
Aggravated with? Relieved Practices
by/with? Midnight soil
Medications taken Pets
Abdominal pain? Nausea? Health center and other resources
Weakness? Thirst? Fever? Availability of health care facilities
Past Medical History
History of diarrhea?
Physical Examination
Bowel sounds
Signs of dehydration (oral
mucosa, skin turgor)
Personal and social History
Water source (drinking and
cooking)
Hygiene and sanitation
History of street food intake
Review of Systems
Abdominal pain
Dry mouth
Bowel movements
Color of stool
Nausea
Changes in bowel habits
Belching
Muscle weakness

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CASE: AMOEBIASIS
Diagnostics
Stool Exam/ Fecalysis

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CASE: AMOEBIASIS
Differential Diagnosis Tools Other cases within the community
Gastroenteritis Family genogram Community effects
Salmonelosis SCREEM Safe water practices
Giardiasis Compliance Issues Health education on: Hand washing,
ANALYSIS / Compliance Issues Supervision of the intake of drugs water sanitation, food handling, excreta
DIAGNOSIS Water sanitation Compliance of diet (BRAT diet) disposal
Hygiene Practices
Clean environment
Safe disposal of fecal wastes
Compliance to treatment regimen
Diagnostics Health education for family Networks
Stool Examination/Fecalysis Drinking water source Municipal Sanitary Officer
Therapeutics Hygiene Local Water District
Antiprotozoal Disposal of fecal wastes Referral (in cases of outbreak)
PLAN
Antispasmodics Food preparation practices MHO referral
OF
Fluid and electrolytes Reassurance MMMH&MC
MANAGEMENT
Supportive Encourage family members to
Hydration undergo testing (carriers)
BRAT diet
Follow up check up

MEMBERS:

AGUSTIN, AILEEN CONCEPCION M.

MACALMA, KNEDRICK KEVIN C.
SAPLA, GENE PAOLO JANZI C.