Primary Care Clinical Tool

Diarrhea & Vomiting Clerking Template

For clinic-based structured history, examination, investigation and plan for acute diarrhea and vomiting. Use clinical judgement and local protocol for urgent referral.

ℹHow to Use This Template
  1. Complete the relevant history, examination, impression and plan fields.
  2. Tick applicable options. Additional questions will appear when further details are required.
  3. Use Generate to create the clerking note, then copy it when ready.
  4. Complete the referral details and generate a referral letter when referral is required.

👤1. Patient Details

📋2. Presenting Complaint

Tick the symptoms the patient presents with. Unticked symptoms will be recorded as absent in the generated note.

Diarrhea

Vomiting

Abdominal Pain

Associated Symptoms

⚠3. Red Flags

Red flag selected. Consider urgent referral based on clinical condition and local protocol.

🔍4. Risk Factors / Background

🩺5. Examination

Dehydration Assessment

General Findings

Abdominal Examination

Abnormal findings (tick all that apply)

PR / Rectal Examination

Abnormal findings (tick all that apply)

📝6. Impression & Plan

Clinical Pattern Suggestions

Suggestions are based on selected history and examination features and do not replace clinical assessment or investigation.

Select relevant findings to view possible clinical patterns.

Impression

Plan Checklist

Plan Investigations

Tick Plan Investigations to show all available investigations, then tick the investigations required.

Blood Investigation

Stool / Imaging / Other

✉ Generate Referral Letter with AI

Generates a referral letter via the server-side AI endpoint (generate_letter.php), using the clerking summary above. Requires this page to be hosted on the same server as that endpoint.
AI usage today: 0 / 500
Click "Generate Referral Letter with AI" to auto-fill this section.