Soap Note Gastroenteritis 🎯

Mucous membranes dry, no thrush, oropharynx clear.

NKDA.

Cranial nerves II–XII intact. No focal deficits. Assessment (A) Diagnosis: Acute viral gastroenteritis with mild-to-moderate dehydration. soap note gastroenteritis

Generalized abdominal cramping, diffuse without radiation. Mucous membranes dry, no thrush, oropharynx clear

None. No recent antibiotics.

None. No chronic GI disorders.