Soap Note Gastroenteritis Instant

Lives alone. No recent travel. No sick contacts known. Eats out frequently. Denies alcohol or illicit drug use.

Generalized abdominal cramping, diffuse without radiation. soap note gastroenteritis

NKDA.

Warm, dry overall but with reduced turgor on sternum. Lives alone

None. No chronic GI disorders.

Cranial nerves II–XII intact. No focal deficits. Assessment (A) Diagnosis: Acute viral gastroenteritis with mild-to-moderate dehydration. diffuse without radiation. NKDA. Warm