,Patient Information
Name: Max Kings
Age: 4 years
Gender: Male
Ethnicity: Caucasian
Setting: Outpatient pediatric clinic with access to X-ray, ECG, and
laboratory capabilities
Date of Encounter: July 16, 2025
Informant: Father
II. Chief Complaint (CC)
"My son has been soiling his underwear for the past three weeks
on and off despite being potty trained. It looks like streaks of
watery poop."
, III. History of Present Illness (HPI)Max Kings, a 4-year-old Caucasian
male, presents to the clinic accompanied by his father with a chief
complaint of leaking stools in his underwear for the past three weeks.
The father reports that Max has been experiencing intermittent
abdominal pain for approximately two years, which typically occurs
after eating and resolves within a few minutes. Over the past three
weeks, Max has had watery stools leaking into his underwear 2-3 times
per day, described as involuntary with no warning. The father notes
that Max has a history of hard, pebble-like stools every 4-5 days,
associated with straining during defecation. Max is a picky eater,
preferring fried foods and desserts, consuming three cups of milk daily,
and drinking minimal water. The father denies any associated
symptoms such as nausea, vomiting, fever, blood in stool, or
headaches. Max is potty trained, and the father reports no recent
Name: Max Kings
Age: 4 years
Gender: Male
Ethnicity: Caucasian
Setting: Outpatient pediatric clinic with access to X-ray, ECG, and
laboratory capabilities
Date of Encounter: July 16, 2025
Informant: Father
II. Chief Complaint (CC)
"My son has been soiling his underwear for the past three weeks
on and off despite being potty trained. It looks like streaks of
watery poop."
, III. History of Present Illness (HPI)Max Kings, a 4-year-old Caucasian
male, presents to the clinic accompanied by his father with a chief
complaint of leaking stools in his underwear for the past three weeks.
The father reports that Max has been experiencing intermittent
abdominal pain for approximately two years, which typically occurs
after eating and resolves within a few minutes. Over the past three
weeks, Max has had watery stools leaking into his underwear 2-3 times
per day, described as involuntary with no warning. The father notes
that Max has a history of hard, pebble-like stools every 4-5 days,
associated with straining during defecation. Max is a picky eater,
preferring fried foods and desserts, consuming three cups of milk daily,
and drinking minimal water. The father denies any associated
symptoms such as nausea, vomiting, fever, blood in stool, or
headaches. Max is potty trained, and the father reports no recent
