Reference no: EM133227261

Question - You are working in an emergency department and your patient is John D, a 72-year-old male. Patient lives at home with his wife. She is at home and unable to perform all her ADLs and he takes care of her along with a home aide. John D presents with a complaint of frequent (4-5 per day) loose stools for the last two days. He has normally 1 bowel movement/day and they are formed. He denies any recent travel out of the country or any blood in the stool. He has mild indigestion but no other abdominal pain or discomfort. He denies history of the same. He exercises daily with senior friends in the community. He eats healthy and denies any changes in diet. Patient denies any trauma. Focused abdominal exam is unremarkable. He has been self treating with blackberry root, which helped somewhat. He has a recent history of prostatitis and is being treated for this. He has a past history of hypertension, rheumatoid arthritis, hyperlipidemia. He has not had any major surgeries. No recent exposure around anyone with the same symptoms.

Vitals: Temp-36.3, Pulse-92, RR-16 BP-101/59 O2-100%

Metoprolol XR 25mg PO Daily

Lisinopril / HCTZ 10/12.5mg PO Daily

Simvastatin 20mg PO Daily

Ibuprofen 200mg PO TID

Ciprofloxacin 500mg PO BID

1. What is the diagnosis?

2. What is the admission decision?

2. What is the treatment plan?

4. What is your medical decision making?

5. What will you require as a provider to support all your decisions?

6. Support your plan with an evidence-based source such as CPGs.