Case 1: A 30-year-old female complaining of on and off abdominal pain radiating to her back and occurring after a heavy meal. She claims that she noticed her urine to be highly colored. She is sexually active with multiple partners but has an IUD on but has no plans of having children yet. She claims to drink alcohol since she was a teenager and smokes weed occasionally.

Case 2: A 48-year-old male complains of severe epigastric pain that is worse after eating. This has been going on for 3 weeks. Symptoms are accompanied by nausea, but patient denies vomiting or diarrhea at this time. Reports stools as “normal” in color and consistency.

Case 3: A 22-year-old female consulted you via telehealth and complains of 3 days watery diarrhea with 7-8 stools per day, generalized weakness, muscle pains and low grade fever. She recently arrived from her travel to Southeast Asia but has been on home quarantine for the last 5 days since her arrival. Other family members who travelled with her are asymptomatic.

For the case you have chosen, post to the discussion:

• Discuss what questions you would ask the patient, what physical exam elements you would include, and what further testing you would want to have performed.
• In SOAP format, list: 
  • Pertinent positive findings that validate your main diagnosis
  • Pertinent negative findings that make you think of other differential diagnoses
  • Treatment plan, including: pharmacotherapy with complementary and OTC therapy, diagnostics (labs and testing), health education and lifestyle changes, age-appropriate preventive care, and follow-up to this visit.
• Use at least one scholarly source other than your textbook to connect your response to national guidelines and evidence-based research in support of your ideas.
• Initial post must have a minimum of 300 words, excluding references.
• In your peer replies, please reply to at least one peer who chose a different case study.