For this Assignment, you will work with a patient with a gastrointestinal condition that you examined during the last three weeks.

1. Subjective: In this section, you need to document the patient’s personal and medical history. Ask the patient about their gastrointestinal symptoms, including the onset, duration, frequency, and intensity of their symptoms. You should also ask about any other medical conditions the patient has, any previous surgeries, current medications, and family history of gastrointestinal disorders.
2. Objective: Document the physical assessment findings in this section. Record the patient’s vital signs, such as temperature, blood pressure, heart rate, and respiratory rate. Conduct a thorough abdominal examination, including auscultation, palpation, and percussion. Note any relevant findings, such as abdominal distention, tenderness, or masses.
3. Assessment: Based on the patient’s symptoms and physical examination, list a minimum of three possible differential diagnoses. These should be listed in order of highest priority to lowest priority. Explain why you chose the primary diagnosis.
4. Plan: In this section, outline your plan for diagnostics and primary diagnosis. List the tests that you would order, such as blood tests, imaging, or endoscopy. Provide a rationale for why you would order these tests. Outline your plan for treatment and management, including both pharmacologic and non-pharmacologic treatments, alternative therapies, and follow-up parameters.
5. Reflection: In this section, reflect on your patient evaluation and note what you would do differently in a similar patient evaluation.

Remember to use the Episodic/Focused Note Template and include all necessary documentation to complete the assignment.